NPI | 1649009051 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSEMARY DE LA CRUZ Chief Executive Officer 978-701-1754 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
208VP0000X Pain Medicine, Pain Medicine | |
Enumeration Date | 2024-08-01 |
Last Update Date | 2024-08-01 |