| NPI | 1891975157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULO RADVANY Physician 781-729-7472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 37688) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2010-10-29 |