| NPI | 1598756132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD A SUSSMAN Board Member 508-875-4811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2015-04-08 |