| NPI | 1114259843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN J GARRETT Owner/CEO 508-539-6250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MA 202974) |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2010-02-05 |