| NPI | 1689969099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER D MELENCIO Agent 508-620-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 228055) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |