| NPI | 1447361837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS THOMAS LACAVA Owner 508-854-1380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 133N00000X Nutritionist |
| 175F00000X Naturopath | |
| 207K00000X Allergy & Immunology | |
| 207Q00000X Family Medicine | |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-09-27 |