| NPI | 1982082723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM BIED Owner 617-201-1002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: MA 230791) |
| 1041C0700X Social Worker, Clinical (Licence: MA 116999) | |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2026-04-22 |