| NPI | 1841760295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY COVER Credentialing Specialist 774-772-7058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2021-02-03 |