| NPI | 1174826556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORA J ROBERTSON Staff Nurse 617-665-2586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MA RN198909) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |