| NPI | 1073843694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATHALLAH MASHALI President 617-548-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MA 152670) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2010-01-04 |