NPI | 1508020199 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT T KOSOWICZ Sr. Director Finance 978-287-7496 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 208000000X Pediatrics |
2084N0400X Psychiatry & Neurology, Neurology | |
208M00000X Hospitalist | |
261QP2000X Clinic/Center, Physical Therapy | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2008-07-14 |
Last Update Date | 2024-04-11 |