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 |