NPI | 1689318503 |
---|---|
Other Name | FENWAY HEALTH GREEN STREET |
Entity Type | Organization |
Authorized Contact | MOIRE DANIEL Director Of Billing And Collections 617-927-6279 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2022-04-26 |
Last Update Date | 2022-04-26 |