| NPI | 1891914321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGRUDER C DONALDSON Owner 508-383-1745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MA 57677) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |