| NPI | 1588759757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY M SHAFER Owner 978-927-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MA 57882) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |