| NPI | 1376230391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA WISOCKY Manager 978-487-6783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care |
| 163WG0000X Registered Nurse, General Practice | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2024-02-25 |