| NPI | 1871769513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD LEVITAN Owner 781-431-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 111N00000X Chiropractor | |
| 103T00000X Psychologist | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2014-06-18 |