NPI | 1629735618 |
---|---|
Entity Type | Organization |
Authorized Contact | PHYLIS MUTHEE Owner 781-775-9026 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2021-11-24 |
Last Update Date | 2023-11-22 |