| NPI | 1184867483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET CONNORS Billing Supervisor 617-864-4108 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MA 56978) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MA 47577) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2009-04-16 |