| NPI | 1285834879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD ANTHONY DOHERTY President 617-784-8980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: MA 894) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |