| NPI | 1790730539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIJAH BERG President 781-280-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2012-02-02 |