| NPI | 1770109910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE SILVA Managing Member 508-542-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |