| NPI | 1679825236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN MCGOWAN Pediatric Nurse Practitioner 857-998-1840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: MA RN283317) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |