| NPI | 1538935705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN JOWETT President 617-668-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery | |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2024-10-02 |