| NPI | 1346552080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISZTINA BUKUR-DOCZY Owner 617-564-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MA 238165) |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2010-07-10 |