| NPI | 1376040899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE TREIBICK Manager 978-505-9897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207RA0401X Internal Medicine Addiction Medicine (Licence: MA 46320) |
| 261QP3300X Clinic/Center Pain | |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2024-04-10 |