| NPI | 1164597993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS GEORGE PETCU President 413-538-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: MA 75221) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-10 |