NPI | 1114024312 |
---|---|
Doing Business As | PLYMOUTH EARS NOSE AND THROAT |
Entity Type | Organization |
Authorized Contact | BERANRD JOSEPH DURANTE President 508-746-8977 |
Organization Subpart ? | No |
Primary Taxonomy | 207KI0005X Allergy & Immunology Clinical & Laboratory Immunology (Licence: MA 58069) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2019-02-01 |