NPI | 1962928457 |
---|---|
Entity Type | Organization |
Authorized Contact | OMAR HAQUE Owner 617-855-7288 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 269936) |
Additional Taxonomies | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
2084B0002X Psychiatry & Neurology, Bariatric Medicine | |
Enumeration Date | 2017-08-17 |
Last Update Date | 2023-08-15 |