| NPI | 1538154869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILAH RANGAVIZ CFO 617-313-1350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2025-04-16 |