| NPI | 1447493705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE CLOUTIER Owner/Physician 774-239-0622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 233168) |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2009-04-15 |