NPI | 1427186428 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHISH D GANDHI Physician 978-208-0285 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: MA 208345) |
Additional Taxonomies | 207RA0000X Internal Medicine Adolescent Medicine (Licence: MA 208345) |
Enumeration Date | 2007-03-01 |
Last Update Date | 2018-09-05 |