| 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 |