NPI | 1255687166 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES VINCENT KOWALSKI President 508-778-1772 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MA 56263) |
Enumeration Date | 2012-07-29 |
Last Update Date | 2012-07-29 |