| NPI | 1861662868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARLE G. WOODMAN President 781-453-3069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MA 26212) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: MA 26212) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |