| NPI | 1467658401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM EDWARD GOLDBERG Inte RN Ist 617-731-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: MA 728907) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2015-06-11 |