| NPI | 1508169129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIR A MELKI Owner 617-566-0062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MA 4RIG) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2010-12-21 |