NPI | 1619188281 |
---|---|
Entity Type | Organization |
Authorized Contact | WALTER KEATON GOLJAN President 508-755-9776 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 52685) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2012-02-21 |