| NPI | 1598365785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK KAPLAN Medical Director 508-834-7725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center Pain |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2022-07-28 |