| NPI | 1992151070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA ANN BUCKLEY Nurse Practice Administrator 781-338-0520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |