| NPI | 1508213471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARAH HAKIM President 774-535-9641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 75082) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA5654) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-05-19 |