| NPI | 1710129119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARIE MCGRANE Billing Coordinator 978-535-6043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MA 41996) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2009-07-22 |