| NPI | 1063646008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRODUYT K PODDAR President 617-257-5945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2011-12-06 |