| NPI | 1124118229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN DEAN Department Administrator 617-355-6463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 231H00000X Audiologist |
| 235Z00000X Speech-Language Pathologist, | |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2012-09-27 |