NPI | 1649058215 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH J PARKS Chief Medical Diretor 781-718-5377 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2023-09-15 |
Last Update Date | 2024-08-27 |