| NPI | 1912626615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN MARIE KANE Owner/Nurse Practitioner 508-764-2620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2023-04-26 |