| NPI | 1356815138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C HOGARTY President 984-207-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2020-12-15 |