| NPI | 1427490705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH PLANJE Clinical Supervisor 781-244-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2013-07-26 |