| NPI | 1134650542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DUGRE Billing 413-525-1611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 208931) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-28 |