| NPI | 1881008670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DUPEE Practice Administrator 781-235-9089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2014-06-19 |