NPI | 1831575380 |
---|---|
Entity Type | Organization |
Authorized Contact | LESLIE WALL Registered Dietitian 617-355-5204 |
Organization Subpart ? | No |
Primary Taxonomy | 261QX0200X Clinic/Center, Oncology (Licence: MA 000003726) |
Enumeration Date | 2015-08-07 |
Last Update Date | 2015-08-07 |