| NPI | 1578956595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS PATNAUDE Physician 508-756-1808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA 264759) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |