| NPI | 1760403885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER Q WARINNER President 781-237-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MA 208060) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| 204R00000X Electrodiagnostic Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2084N0008X Psychiatry & Neurology Neuromuscular Medicine | |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology | |
| 2084S0010X Psychiatry & Neurology Sports Medicine | |
| 208VP0000X Pain Medicine Pain Medicine | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2015-02-04 |