| 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 | 2025-01-07 |