NPI | 1740564665 |
---|---|
Entity Type | Organization |
Authorized Contact | GABRIEL YUIL Md 978-682-3233 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MA 47382) |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: MA 47382) |
Enumeration Date | 2011-10-11 |
Last Update Date | 2011-10-11 |