| NPI | 1568871481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMNER A SLAVIN Owner 617-558-7010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MA 37904) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |