| NPI | 1215120258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELIKI MEDRANO Clinical Reimbursement Auditor 617-919-2107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2008-07-14 |