| NPI | 1699161794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVED HUSSAIN Medical Director 781-335-3012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: MA 221575) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-04-15 |