| NPI | 1669468419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRE ALEXEYENKO President 781-581-6181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 77955) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2014-10-14 |