| NPI | 1568479707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOLDIE MARY LENGEL Nurse Practitioner 617-287-5661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MA 131434) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |