| NPI | 1831862325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN BANEGURA Owner 617-901-6120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208M00000X Hospitalist |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2021-07-29 |