| 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 |