| NPI | 1649691957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN VAN DAM Medical Director 781-559-0230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 205080) |
| Enumeration Date | 2014-01-05 |
| Last Update Date | 2014-01-05 |