| NPI | 1841604493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT K DDUNGU COO 781-325-3905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 207RA0401X Internal Medicine Addiction Medicine |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-12-04 |