| NPI | 1669189767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE FELLIPE CARVALHO Nurse Practitioner 508-815-9434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2022-10-31 |