| NPI | 1902835564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN GRENOBLE Managing Partner 413-442-1019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2012-06-06 |