| NPI | 1730123019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIGAYA CASTILLO Np 617-632-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MA 191384) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2022-07-21 |