| NPI | 1275589624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE C. HINES Medical Director 508-226-5540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: MA 2413) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2007-12-05 |