| NPI | 1205020740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE I CORWIN Owner 508-746-9040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 48023) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |