| NPI | 1851717474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY B CALLAHAN Owner 774-413-5457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MA 160179) |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2014-03-14 |