| NPI | 1568859221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE CHEN President 508-789-2707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY A2593811) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY A2593811) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NY A2593811) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NY A2593811) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY A2593811) | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |