| NPI | 1700566635 |
|---|---|
| Former Legal Business Name | INNER HEALING MEDICAL |
| Entity Type | Organization |
| Authorized Contact | SARA RAIMUNDO VP Of Operations And Member Service 781-614-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-10-20 |