NPI | 1538122072 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE A PICARD Practice Administrator 508-994-1400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2006-04-07 |
Last Update Date | 2009-02-24 |