| NPI | 1720510977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWNA LYNN JONES Medical Director 781-424-0488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: MA 56610) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |