| NPI | 1871575480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN WILLS Billing Manager 781-756-7273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 55324) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2008-03-20 |