| NPI | 1356778146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS R VIVEIROS Manager/Np 508-837-1493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 230970) |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2014-07-14 |