| NPI | 1487187514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ERUMU NWOSU Director 617-458-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX Q1873) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |