| NPI | 1639370976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN A BENJAMIN Managing Partner 617-244-9929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 47711) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 215848) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: MA 77573) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |