| NPI | 1750677720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODALYS CROTEAU Owner 978-669-5684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 159715) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MA 159715) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2019-03-14 |