| NPI | 1376066621 |
|---|---|
| Doing Business As | LT PROACTIVE CARE - CHESTNUT HILL MEDICAL |
| Entity Type | Organization |
| Authorized Contact | JESSICA AMOROSINO Owner 781-797-2057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |