| NPI | 1669177192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER TOUGAS-GENOVA Nurse Practitioner 413-519-5594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-27 |