| NPI | 1649210410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN P. RANERE President 617-864-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 38799) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 78854) |
| 207R00000X Internal Medicine (Licence: MA 38829) | |
| 207W00000X Ophthalmology (Licence: MA 221205) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 38538) | |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MA 225084) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2015-11-23 |