NPI | 1194180547 |
---|---|
Doing Business As | BODYLOGICMD OF BOSTON |
Entity Type | Organization |
Authorized Contact | NADA MILOSAVLJEVIC Medical Director 401-595-0600 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 220689) |
Enumeration Date | 2015-12-29 |
Last Update Date | 2015-12-29 |