| NPI | 1710642814 |
|---|---|
| Other Name | 1133 SEMINOLE DRIVE |
| Entity Type | Organization |
| Authorized Contact | AMY MARIE GUAY President Of Smg 617-562-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2021-11-03 |