| NPI | 1376743997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAGY MIKAEL Clerk 781-899-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine | |
| Enumeration Date | 2007-07-22 |
| Last Update Date | 2023-02-14 |