| NPI | 1225172851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEPAK S TANDON Owner 617-731-0016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 46565) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2014-04-24 |