| NPI | 1154506103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN JOSEPH SCULLY Owner 978-687-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MA 27779) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2012-10-22 |