| NPI | 1790232999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHITRADEEP DE Owner 617-935-2694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME125650) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2023-05-30 |