NPI | 1720332190 |
---|---|
Entity Type | Organization |
Authorized Contact | MOUSTAFA ALI Medical Director/Owner 508-679-0911 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2012-11-06 |
Last Update Date | 2012-11-06 |