| NPI | 1497831523 |
|---|---|
| Doing Business As | THE SURGERY CENTER OF WALTHAM |
| Entity Type | Organization |
| Authorized Contact | DEREK M. LARKIN Director Of Business 781-434-6500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MA 4QLZ) |
| Additional Taxonomies | 261QA0006X Clinic/Center, Ambulatory Fertility Facility (Licence: MA 4QLZ) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2009-08-24 |