| NPI | 1750470035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHARATI JAYANT PHADKE Vice President 508-363-9030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 78071) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 80325) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |