| NPI | 1730423476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JAMES DAVIDSON Owner 781-237-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MA 223532) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |