| NPI | 1548672736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON J GARTEN Physician 617-529-6551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: MD 01439) |
| Additional Taxonomies | 261Q00000X (Licence: DC PO1000044) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |