| NPI | 1932575974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA MINTZ Owner/President 413-355-0761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2018-12-11 |