| NPI | 1821676438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MACDONALD Prescriber 781-340-2473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2021-04-02 |