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 |