| NPI | 1417218090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK JOSEPH MADDEN Owner Of Entity 617-797-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME113116) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2025-07-29 |