NPI | 1386102614 |
---|---|
Entity Type | Organization |
Authorized Contact | OMAR RASHID QURESHI Provider 978-343-7246 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
Enumeration Date | 2019-03-05 |
Last Update Date | 2022-04-15 |