| NPI | 1609313428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM CLARK Family Nurse Practitioner 781-235-3182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MA RN2284844) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |