| NPI | 1053849927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT F CULLEN Physician 350-253-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL ME16881) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2023-06-07 |