NPI | 1710224118 |
---|---|
Entity Type | Organization |
Authorized Contact | GIANNA PAPA Credentialing Manager 617-894-1718 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: FL ME81042) |
Enumeration Date | 2013-01-07 |
Last Update Date | 2023-01-27 |