| NPI | 1801860200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANN VASCONCELLOS Owner 508-339-2105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2010-06-29 |