| 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 (Licence: MA 47382) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2011-10-11 |