NPI | 1376564534 |
---|---|
Entity Type | Organization |
Authorized Contact | LEO MAXWELL CASS President/Physician 781-721-5025 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 33744) |
Enumeration Date | 2006-07-22 |
Last Update Date | 2018-03-17 |