| NPI | 1710241245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SANGHYUN CAGUA-KOO Owner 617-596-1092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MA 247965) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2012-06-29 |