| NPI | 1952503831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE E. SPIELBERG Principal Physician 781-235-3460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: MA 29018) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2008-07-26 |