| NPI | 1215296777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C DALLENBACH Owner 413-442-8267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MA 155179) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2012-05-03 |