NPI | 1871653865 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID GRACE President 508-746-7543 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
207RC0000X Internal Medicine, Cardiovascular Disease | |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
208000000X Pediatrics | |
363AM0700X Physician Assistant, Medical | |
363LF0000X Nurse Practitioner, Family | |
363LP2300X Nurse Practitioner, Primary Care | |
207RI0200X Internal Medicine, Infectious Disease | |
363LP0200X Nurse Practitioner, Pediatrics | |
207RR0500X Internal Medicine, Rheumatology | |
Enumeration Date | 2006-12-11 |
Last Update Date | 2013-01-09 |