| NPI | 1023160454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE G. WATROUS President Melrose Wakefield Testin 781-942-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2008-08-12 |