| NPI | 1770601809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEGRANDE VAN UITERT President 413-664-6321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: MA 45570) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2010-03-17 |