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 |