| NPI | 1003039041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOPAL KRISHNA GUPTA Director 617-491-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: MA 152950) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 152950) |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: MA 152950) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |