| NPI | 1174748701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE RUSSO BOUCHER Nurse Practitioner 617-414-8258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: MA MA106293) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-08-07 |