| NPI | 1841411717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SADRU KABANI Chief Of Oral Pathology 617-638-4775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |