| NPI | 1366625006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUMAIRA A MAHMUD Medical Director 508-281-5953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 154239) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2010-09-22 |