| NPI | 1417161712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE PORELL CAO 617-499-6621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine |
| 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 | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2025-09-11 |