| NPI | 1427876788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM M WHITE Owner 617-549-6288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-09-26 |