| NPI | 1295884500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STAMM Owner 413-586-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2025-09-11 |