| NPI | 1487803052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEKUNLE FAJANA CEO 508-753-4151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 207RN0300X Internal Medicine, Nephrology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2018-10-17 |