| NPI | 1457239691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONJAY SHRINIVAS Pc Owner 617-504-4449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-08-25 |