| NPI | 1518015171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R MOORE Principle Physician 978-532-3240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MA 29094) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |