| NPI | 1548931991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC PATRICK ECK Osteopathic Physician 413-438-7848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2022-02-28 |