NPI | 1174542013 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH ALEX MITCHELL President 617-779-1100 |
Organization Subpart ? | No |
Primary Taxonomy | 283XC2000X Rehabilitation Hospital, Children (Licence: MA 110) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: MA 2221) |
261QS0112X Clinic/Center, Oral and Maxillofacial Surgery | |
Enumeration Date | 2006-07-19 |
Last Update Date | 2024-03-22 |