| NPI | 1144234055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY J TAFT Billing Manager 617-355-6136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2023-11-09 |