| NPI | 1285634782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R WOLLIN President 508-756-6293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 208800000X Urology |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2022-07-21 |