| NPI | 1649269135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANI SREE REDDI Owner 978-725-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MA 154422) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2012-12-04 |