| NPI | 1194903435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE MARIA GRANDI Billing Specialist 978-667-5230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MA 223532) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-09-03 |