| NPI | 1104464379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CAO Owner 617-304-9116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2019-12-18 |