| NPI | 1568789527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S TURILLI VP Fiscal Services 781-338-7415 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics |
| Additional Taxonomies | 208600000X Surgery |
| 2086S0129X Surgery Vascular Surgery | |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2012-01-13 |