| NPI | 1417150194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA FRESOLO Billing Coordinator 508-853-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 150862) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2010-12-03 |