NPI | 1194871921 |
---|---|
Other Name | CORPORATION |
Entity Type | Organization |
Authorized Contact | CAROLYN V SHAAK President 781-453-2962 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 48651) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2020-08-22 |