| NPI | 1780088997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A. MILLER President 781-762-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: MA 535) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |