| NPI | 1336671882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA SCULLY Director, Professional Billing 617-573-4034 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |