| NPI | 1508864828 |
|---|---|
| Doing Business As | FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | TINA R WAUGH Treasurer 978-927-7727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2020-08-22 |