| NPI | 1578328241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIEL HADDAD Physician 617-875-4548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2025-07-21 |