| NPI | 1376709683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PAUL LOCK Medical Director 508-754-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MA 35925) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-06 |