| NPI | 1528396611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONA BURKE Biller 508-678-4244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MA 56708) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: RI 7012) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2010-07-14 |