| NPI | 1518056035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAWYA SHOCAIR Owner 781-899-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RN0300X Internal Medicine, Nephrology | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2025-09-11 |