| NPI | 1346381811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY STACEY Practice Manager 508-820-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |