| NPI | 1346202587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD JOSEPH DORRIS President 508-757-9188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| 207RA0201X Internal Medicine, Allergy & Immunology | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2020-08-22 |