| NPI | 1699816520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS MORENO President Owner 781-769-0552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 60414) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2010-07-12 |