| NPI | 1659312189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD GALLEGOS Director 617-636-7549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology |
| Additional Taxonomies | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine |
| 207RH0003X Internal Medicine Hematology & Oncology | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2017-04-21 |