NPI | 1134957103 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSEMARY DE LA CRUZ Physician Owner 978-701-1754 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
Enumeration Date | 2024-07-22 |
Last Update Date | 2024-07-22 |