NPI | 1588772396 |
---|---|
Former Legal Business Name | BERKSHIRE FACIAL PLASTIC |
Entity Type | Organization |
Authorized Contact | JOHN ANTHONY LOIODICE President 413-448-8291 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MA 45563) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2020-08-22 |