| NPI | 1588071575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY TAYLOR Sr VP Of Operations 781-733-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |