| NPI | 1114195179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDRIS DAHOD President 508-363-7344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MA 156574) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |