| NPI | 1841256302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIEN VAISMAN President 978-826-7234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MA 71164) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2008-05-29 |