| NPI | 1649392416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER J NALESNIK Owner 781-595-9581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 53680) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2021-12-30 |