| NPI | 1710495585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN PARILLO Executive Director 508-848-2474 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |