| NPI | 1073920211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL BABBITT Partner 508-567-3202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MA 226970) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |