| NPI | 1124177456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA M FORTIN Secretary 978-537-4805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: MA 214922) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |