| NPI | 1134201411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CLOUGH Owner 508-634-7338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MA 153089) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MA 153089) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2012-10-16 |