NPI | 1376753442 |
---|---|
Entity Type | Organization |
Authorized Contact | MARYLIZ M CHAPMAN Administrator 413-828-3465 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: OR MD25193) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2021-10-28 |