| NPI | 1588678312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMENIC X VISOCCHI Owner President 781-395-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MA 15414) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |