| NPI | 1376758086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIRY F HALL Medical Director 617-373-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: MA 163480) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |