| NPI | 1780725333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY A GOLDBERG Manager 781-233-2016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0100X Chiropractor, Occupational Health (Licence: MA 2340) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |