| NPI | 1831803238 |
|---|---|
| Former Legal Business Name | EASTERN TELEHEALTH INC |
| Entity Type | Organization |
| Authorized Contact | ANDREW FORREST KOHLER President 571-249-2493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QE0002X Clinic/Center, Emergency Care |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 261QR1300X Clinic/Center, Rural Health | |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-07-25 |