| NPI | 1104654789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MCKINNON President 508-212-9364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-07-24 |