| NPI | 1427599588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS RIELEY Treasurer 781-756-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2021-06-01 |