| NPI | 1659507812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZAN M SATTLER Administrator 781-820-6134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1225) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-02 |