NPI | 1659097483 |
---|---|
Entity Type | Organization |
Authorized Contact | SULAYMAN ZUOD CEO/President 781-964-2654 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 207R00000X Internal Medicine |
207RG0300X Internal Medicine, Geriatric Medicine | |
363L00000X Nurse Practitioner | |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2022-10-13 |
Last Update Date | 2023-08-21 |