| NPI | 1356695985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALID AZIZ Physician 508-872-0508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MA 230294) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 230367) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |