| NPI | 1992881437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EIL President 508-676-3411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA 1715) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA 14286) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-11-28 |