| NPI | 1538141122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN WILLS Billing Manager 781-756-7273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 160925) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 219219) |
| 207R00000X Internal Medicine (Licence: MA 216181) | |
| 207R00000X Internal Medicine (Licence: MA 225036) | |
| 207R00000X Internal Medicine (Licence: MA 224861) | |
| 207R00000X Internal Medicine (Licence: MA 154840) | |
| 207R00000X Internal Medicine (Licence: MA 220460) | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2009-01-05 |