| NPI | 1710523147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LEUNG CEO 617-804-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207L00000X Anesthesiology | |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2024-07-18 |