| NPI | 1831244086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA SOUZA Billing Agent CEO 508-548-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2016-09-02 |