| NPI | 1306391206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L CONNORS CFO 508-957-8540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MA AKUN) |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2023-09-07 |