| NPI | 1972710515 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DAVID BARRASSO Director Of Group 781-431-1689  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine | 
| Enumeration Date | 2007-05-16 | 
| Last Update Date | 2018-06-21 |