| NPI | 1346420874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN R MORALES Executive Director & COO 508-765-9771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2009-04-09 |