| NPI | 1053783449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN GEORGE OSTRO Owner/Manager 978-452-4626 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MA 42186) |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-10-23 |