| NPI | 1083802219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA A HENRY Office Manager 413-734-7758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MA 28919) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2007-10-25 |