NPI | 1962616805 |
---|---|
Entity Type | Organization |
Authorized Contact | SIMONE ELIZABETH MORDAS President 508-647-1040 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 77150) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2008-04-29 |