| NPI | 1760114086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW ELLIOT CHESTER Resident Physician 617-702-2963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2022-06-27 |