| NPI | 1962774638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN WILLIAM O'CONNOR President 781-605-0944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: MA 72453) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |