| NPI | 1942236237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER GRECO RAO Physician 772-335-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0064920) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2007-10-11 |