| NPI | 1346641503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACALYN BERRY Office Manager 978-369-3567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MA 34521) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MA 57637) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2014-09-08 |