| NPI | 1467613976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELONY C GRAHAM-TIPLER Doctor 617-250-8887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: MA 3188) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2010-05-28 |