| NPI | 1730263039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD R MOSTAFAVI President 413-785-5321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology |
| 207ZP0101X Pathology, Anatomic Pathology | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2021-06-15 |