| NPI | 1841510633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD GALLEGOS Director 617-636-7549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2017-04-21 |