| NPI | 1427298041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATEUS BARBOSA Clinician 617-650-8146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MA 302R00000X) |
| Enumeration Date | 2009-02-22 |
| Last Update Date | 2009-02-22 |