| NPI | 1811120066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK P FECHNER Md 508-754-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MA 219725) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2009-09-03 |