| NPI | 1629497417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAEL MAYER STEIN Managing Director 617-332-4780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MA 33623) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |