| NPI | 1699969006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS F FERNANDEZ-DEL CASTILLO Provider 617-726-5644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 78466) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: MA 78466) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |