| NPI | 1609487834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ERIC WOLLMAN Member 617-340-9559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-14 |