| 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 | |
| 207RI0200X Internal Medicine Infectious Disease | |
| 207RR0500X Internal Medicine Rheumatology | |
| 208000000X Pediatrics | |
| 363AM0700X Physician Assistant Medical | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0200X Nurse Practitioner Pediatrics | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2013-01-09 |