| NPI | 1043218035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C CARROLL President 508-678-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2011-10-04 |