| NPI | 1972152072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEI LILY MULROY President 800-804-7996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208M00000X Hospitalist |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |