| 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 |