| NPI | 1174928543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE E REYNOLDS Office Manager 978-304-8690 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |