NPI | 1912339342 |
---|---|
Entity Type | Organization |
Authorized Contact | DENISE COOK Manager 617-421-1149 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MA 1337) |
Enumeration Date | 2013-08-08 |
Last Update Date | 2013-08-08 |