| NPI | 1952963548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN GRENOBLE Md/President 413-445-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-07-03 |