| NPI | 1639453251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA A RAHMAN Regestered Pharmacist 781-665-1329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MA ph22491) |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2011-09-30 |