| NPI | 1053657346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN HAMAR CFO 617-823-4191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2012-12-14 |