| NPI | 1376176917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA GIARATANO Nurse Practitioner 844-578-2791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2021-10-25 |