| NPI | 1477067999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANDANA M KRISHNA President 617-818-1490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: MA 203930) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2019-01-10 |