| NPI | 1881429306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM TANG Medical Director 508-903-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2024-10-01 |