| NPI | 1427436807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY SHAFER Owner 978-927-8844 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MA 57782) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-05-18 |