| NPI | 1427330950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIRK A JOHNS Owner 508-634-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 14220) |
| Enumeration Date | 2011-09-11 |
| Last Update Date | 2011-12-18 |