NPI | 1871911511 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA M POULOS Owner/Provider 508-393-4544 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: MA 78672) |
Enumeration Date | 2014-03-31 |
Last Update Date | 2014-10-22 |