NPI | 1841917622 |
---|---|
Entity Type | Organization |
Authorized Contact | JACK DUNN Owner 413-330-1366 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
Enumeration Date | 2022-10-24 |
Last Update Date | 2024-03-22 |