NPI | 1447792098 |
---|---|
Entity Type | Organization |
Authorized Contact | DARCY GRANT THOMAS Owner Physician 978-873-6572 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MA MA238462) |
Enumeration Date | 2016-11-14 |
Last Update Date | 2016-11-14 |