| NPI | 1649040817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MARIE DELUCA Director 978-973-5470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |