NPI | 1689668915 |
---|---|
Former Legal Business Name | CENTRAL ENT ASSOCIATES |
Entity Type | Organization |
Authorized Contact | JEFFREY R FINE President / Co Owner 508-755-3161 |
Organization Subpart ? | No |
Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: MA MA35665) |
Enumeration Date | 2005-09-01 |
Last Update Date | 2020-08-22 |