| NPI | 1770243909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABILA PRIMUS BENAZEA Doctor Of Nursing Practice 781-521-0302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2021-12-29 |