| NPI | 1063477446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R CAMPBELL Md/Owner 617-632-9848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: MA 39971) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2014-10-14 |