| NPI | 1225010846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOSEPH GRADY President 781-893-6520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| 208C00000X Colon & Rectal Surgery | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2008-07-30 |