| NPI | 1487067617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JITIN SAHANI Owner 781-320-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MA 20255) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |