| NPI | 1821249996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LLOYD OSULLIVAN Dr. Owner/President 781-235-1007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MA 157703) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |