| NPI | 1356682033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JAMOULIS JAMESON Owner 617-499-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: MA 72421) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |