| NPI | 1073505129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P WYSOCKI President 978-777-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2022-07-21 |