| NPI | 1366917494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY H SPIEGEL Sole Proprietor 617-566-3223 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |