| NPI | 1518979319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J JAMESON Sole Member 617-499-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-08-22 |