NPI | 1538145131 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN COUGHLIN President 508-746-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
207RH0003X Internal Medicine Hematology & Oncology | |
207V00000X Obstetrics & Gynecology | |
2085R0202X Radiology Diagnostic Radiology | |
2085U0001X Radiology Diagnostic Ultrasound | |
208600000X Surgery | |
2086S0129X Surgery Vascular Surgery | |
363LA2200X Nurse Practitioner Adult Health | |
363LF0000X Nurse Practitioner Family | |
Enumeration Date | 2005-12-16 |
Last Update Date | 2021-12-15 |