| NPI | 1578379517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY DE LA CRUZ Physician Owner 978-701-1754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2024-12-04 |