| NPI | 1417291741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNYOUNG LEE Owner 617-327-1812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MA 242074) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2013-11-12 |