| NPI | 1467883124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UDAYA B JAGADEESAN Owner 413-426-3862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 210498) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2013-12-06 |