| NPI | 1619474624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANNE ROSSETTA Owner/Provider 617-877-4756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2018-04-07 |
| Last Update Date | 2025-04-02 |