| NPI | 1841268265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN RUSSELL BUTLER President 508-996-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 154055) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2020-08-22 |