| NPI | 1861501835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA M ISSA Office Manager 508-588-3174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MA 63138) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-03-05 |