| NPI | 1033651104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN L SHIROSKY Operations Manager 617-772-5690 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2281236) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |