| NPI | 1730434614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNIE H CHUNG Owner 781-235-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: MA 220376) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |