| NPI | 1790241735 |
|---|---|
| Other Name | CONGENIAL PHYSICIAN ORGANIZATION |
| Entity Type | Organization |
| Authorized Contact | LISA MARIE ENDERLE Provider Enrollment 978-712-1681 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-02-14 |