| NPI | 1124579644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA COHEN Manager 617-401-4743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |