| NPI | 1114388162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS STEPHEN SULLIVAN Chief Professional Officer 617-822-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 385) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |