| NPI | 1578069761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA LYNN MILLER Cnm 413-530-0581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MA RN156494) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-05 |