NPI | 1780240234 |
---|---|
Doing Business As | AVID SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | VERONICA JOW President 617-216-7771 |
Organization Subpart ? | No |
Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine |
Enumeration Date | 2019-05-10 |
Last Update Date | 2024-12-03 |