NPI | 1073566410 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID GANNON President 508-747-7246 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
Additional Taxonomies | 207L00000X Anesthesiology |
Enumeration Date | 2006-05-18 |
Last Update Date | 2024-04-24 |