| 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 |