| NPI | 1376900050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIR MOHSEN MAHOOZI Owner Provider 617-970-3682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MA DN19312) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |