| NPI | 1023347127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEYED A MOSTOUFI Medical Director 617-547-7163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2020-08-13 |