| NPI | 1992046718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN A ANDREWS President 781-296-5295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 202711) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2013-03-04 |