| NPI | 1538708946 |
|---|---|
| Doing Business As | PRIMARY CARE SERVICES AT FAIRHAVEN |
| Entity Type | Organization |
| Authorized Contact | SUSAN AHERN SVP, CFO 267-787-4106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2025-01-31 |