NPI | 1205829579 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE COOK Medical Director 978-687-2321 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
207LP2900X Anesthesiology, Pain Medicine | |
207T00000X Neurological Surgery | |
208100000X Physical Medicine & Rehabilitation | |
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
Enumeration Date | 2005-08-23 |
Last Update Date | 2021-06-27 |