| NPI | 1760594493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REDA ISHAK Medical Director 413-733-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MA 80712) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-03-01 |