| NPI | 1356432603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBHASH C. GULATI President 508-755-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 48512) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MA 48512) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2013-03-12 |