NPI | 1376739441 |
---|---|
Other Name | AGAPE DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | PAUL MALLARI Owner 508-674-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA 1919) |
Enumeration Date | 2007-09-21 |
Last Update Date | 2020-06-24 |