| NPI | 1467430470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN L FABRIZIO Medical Practice Administrator 413-698-3335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 43684) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MA 43684) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2020-08-22 |