| NPI | 1497805592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA M LYNCH Nurse Practitioner 617-287-5660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MA 78969) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-09-20 |