NPI | 1710529656 |
---|---|
Entity Type | Organization |
Authorized Contact | GIANNA PAPA Credentialing Manager 617-894-1718 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207Q00000X Family Medicine |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2019-10-11 |
Last Update Date | 2023-01-27 |