NPI | 1649431107 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY MCMILLAN DARROW President 617-267-0710 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: MA 55656) |
Enumeration Date | 2008-06-18 |
Last Update Date | 2008-06-18 |