NPI | 1982082723 |
---|---|
Entity Type | Organization |
Authorized Contact | HUNG K DO CEO 978-710-9877 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 116999) |
261QM2500X Clinic/Center, Medical Specialty (Licence: MA 230791) | |
Enumeration Date | 2015-05-13 |
Last Update Date | 2022-05-18 |