NPI | 1558010132 |
---|---|
Entity Type | Organization |
Authorized Contact | EMILY SMITH President 617-505-1520 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
Enumeration Date | 2022-03-22 |
Last Update Date | 2022-06-01 |