| NPI | 1497364376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT AMORY THORNDIKE Manager 781-724-5916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2024-07-15 |