| NPI | 1548268535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J WAGES President 978-531-6966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2022-07-21 |