| NPI | 1669588372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WEINER Owner 781-986-1737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: MA 54262) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-09-10 |