NPI | 1730485897 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN S CHARLAP Chief Service Officer 617-319-6434 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 103T00000X Psychologist |
133V00000X Dietitian, Registered | |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: FL ME89947) | |
Enumeration Date | 2011-02-07 |
Last Update Date | 2011-11-28 |