| NPI | 1700585387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIRAJ PATEL President 617-902-0443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2024-04-01 |