NPI | 1104292101 |
---|---|
Entity Type | Organization |
Authorized Contact | GURMANDER SINGH KOHLI President 978-255-2354 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: MA 38488) |
Enumeration Date | 2015-08-13 |
Last Update Date | 2015-08-13 |