| NPI | 1023399318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY B WESTERFELD Md 508-910-2204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: RI PENDING) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2020-01-08 |