| NPI | 1912941733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MOORE VANNEMAN President 781-729-5855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-08-22 |