| NPI | 1295878171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER EDWARD BENTIVEGNA President 508-771-4263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0105X Surgery Surgery of the Hand (Licence: MA 76228) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MA 76228) |
| 2082S0105X Plastic Surgery Surgery of the Hand (Licence: MA 76228) | |
| 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: MA 76228) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2012-11-14 |