| NPI | 1528265899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA SOUZA Billing Agency CEO 508-548-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 59248) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2008-06-26 |