| NPI | 1801684543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT CRAWFORD President 508-944-6304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2025-04-30 |