| NPI | 1508876475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEELA GURBANI President 617-731-0311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X |
| Additional Taxonomies | 208000000X Pediatrics |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2025-09-11 |