| NPI | 1235324914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMON JACOBSON President 508-875-5585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 56601) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2014-06-12 |