| NPI | 1760594469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART HOWARD BENTKOVER President 508-363-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology Facial Plastic Surgery (Licence: MA 38152) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-02-17 |