| NPI | 1649991043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY K. JOHNSON Ownder/Physician 978-683-4299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 208000000X Pediatrics | |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2023-02-13 |