| NPI | 1942654850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY BOWER Office Manager 508-872-0508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 230294) |
| Enumeration Date | 2016-04-17 |
| Last Update Date | 2016-04-17 |