| NPI | 1144693128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH F CONDON Vice President 508-992-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MA 236197) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MA 244839) |
| 171100000X Acupuncturist (Licence: RI DA00362) | |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |