| NPI | 1003161381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEALTHER A OLIVIERI Owner 617-244-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MA 1671) |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2018-01-29 |