| NPI | 1033491766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | H GREGORY OTA President 781-874-1965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MA 54244) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-09-20 |