| NPI | 1780945121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. MARCEL-ST-LOUIS DEMERTINE Doctor 617-247-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MA 76898) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2012-12-27 |