| NPI | 1811122880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HALTIGAN Director Revenue Cycle Mngmt 877-856-3774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 261QR0200X Clinic/Center, Radiology | |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2024-02-23 |