| NPI | 1699117374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN FREEDMAN Sole Proprietor 617-731-0227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 52273) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |