| NPI | 1457426520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATYA DIVARI Owner 508-872-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2007-08-23 |