| NPI | 1992701312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA L LEITAO-PINA Business Manager 508-368-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 45076) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2020-08-22 |