| NPI | 1962811810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA LAVIN Director 617-860-3883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MA 214154) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2015-05-08 |