| NPI | 1528544624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS STEPHEN SULLIVAN Chief Professional Officer 617-899-2413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA CH385) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |