| NPI | 1952825671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD D GLUCK Owner 781-337-6737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2023-08-02 |