| NPI | 1154727113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY KILCOMMONS Practice Administrator 978-745-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |