| NPI | 1508659442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SCHWARTZ Owner, Agent 617-209-9103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-05-23 |