| NPI | 1689369993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L PATZ Manager 781-769-6720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-04-11 |