| NPI | 1467007609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LEUNG Owner 617-804-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2022-07-18 |