NPI | 1417018409 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY ELLIOT TRATT President Corporation 508-771-5300 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 30714) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2020-08-22 |