NPI | 1346552080 |
---|---|
Doing Business As | KRISZTINA BUKUR-DOCZY |
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 |