| NPI | 1760879878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES A SWANSON Doctor Of Dermatology 978-462-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MA 41349) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |