| NPI | 1164514048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT S. BENNETT President 508-755-8663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-11 |