| NPI | 1467472399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY G BOLAND Operations Manager 781-235-1533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: MA 76066) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-10-24 |