| NPI | 1144509209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD BRUCE KABAN Chief 617-726-2740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: MA P-36801) |
| Additional Taxonomies | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2011-08-08 |