NPI | 1417161712 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVE PORELL CAO 617-499-6621 |
Organization Subpart ? | No |
Primary Taxonomy | 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
207V00000X Obstetrics & Gynecology | |
207R00000X Internal Medicine | |
2085R0202X Radiology, Diagnostic Radiology | |
208600000X Surgery | |
208800000X Urology | |
207X00000X Orthopaedic Surgery | |
207Q00000X Family Medicine | |
207W00000X Ophthalmology | |
1223G0001X Dentist, General Practice | |
1223S0112X Dentist, Oral and Maxillofacial Surgery | |
207Y00000X Otolaryngology | |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
208000000X Pediatrics | |
Enumeration Date | 2007-05-09 |
Last Update Date | 2020-08-22 |