| NPI | 1982080537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM MORSE Physician 617-340-6446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: MA 204833) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |