NPI | 1629358767 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL WILLERS Director 413-315-3117 |
Organization Subpart ? | No |
Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology |
Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty (Licence: MA 237999) |
Enumeration Date | 2011-08-21 |
Last Update Date | 2022-02-28 |