| NPI | 1598727786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA J TITONE Billing 508-379-9897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 158771) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 230) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2007-10-17 |