| NPI | 1649518937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEYED MOSTOUFI Medical Director 617-547-7163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MA 212542) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2020-08-13 |