| NPI | 1619049657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE GORANITIS Medical Director 781-326-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: MA 53227) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2012-08-01 |