NPI | 1568765394 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES W. SHEPARD President 508-655-0100 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MA 28785) |
Enumeration Date | 2010-12-16 |
Last Update Date | 2010-12-16 |