| NPI | 1376801043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATYA A SIVACEK Emergency Service Clinician 774-291-6653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MA s69008085) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |