| NPI | 1134375967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ANTHONY CORDIMA Owner 781-393-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MA 143) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |