| NPI | 1396726006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA SPEDDEN Practice Manager 781-383-6261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2016-11-30 |