| NPI | 1639370976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN A BENJAMIN Managing Partner 617-244-9929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MA 77573) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 47711) |
| 208000000X Pediatrics (Licence: MA 215848) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2025-09-11 |