NPI | 1982873428 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE ROBERT MONTMINY Doctor 978-459-0702 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MA 2264) |
Enumeration Date | 2008-02-28 |
Last Update Date | 2008-02-28 |