| NPI | 1770534927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L CONNORS CFO 508-957-8540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 207Q00000X Family Medicine | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 208600000X Surgery | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2023-09-07 |