| NPI | 1851813034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANETTE DOUGLAS Practice Manager 781-593-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 150082) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2017-07-10 |