| NPI | 1043419104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN AN-LIEN WANG-DOHLMAN Owner 617-527-3440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: MA 79655) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |