| NPI | 1114091501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C MICHAEL DUCA Administrator 413-737-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MA AJ4C) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2016-01-05 |