| NPI | 1215543889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN APPELBAUM Physician/Owner 617-721-2186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 208800000X Urology |
| Enumeration Date | 2020-09-19 |
| Last Update Date | 2020-09-19 |