| NPI | 1326145517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT D MCIVOR COO 781-407-7713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-11-07 |