| NPI | 1659561165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE CARNES Practice Manager 508-822-5352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 37538) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2010-12-06 |