| NPI | 1285184531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MARIE HIGBIE Medical Billing Manager 508-746-8977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MA PA5716) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-24 |