NPI | 1235144064 |
---|---|
Entity Type | Organization |
Authorized Contact | REGINA KRUCZYNSKA Medical Director 413-734-6461 |
Organization Subpart ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MA 36150) |
Enumeration Date | 2006-07-30 |
Last Update Date | 2020-08-22 |