| NPI | 1891284188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT L. FULLERTON Practice Owner 781-935-3710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 37514) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |