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 |