| NPI | 1568839033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD K WARREN Sole Owner 617-548-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MA 44013) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-10-27 |