| NPI | 1346222064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN WILLS Billing Manager 781-756-7273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 52067) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 152386) |
| 207R00000X Internal Medicine (Licence: MA 206855) | |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2015-04-22 |