| NPI | 1407294523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL REALE Executive Vice President 781-915-0218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2015-06-17 |