NPI | 1902528565 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL S. BARRON Physician 617-209-9707 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
Additional Taxonomies | 2084P2900X Psychiatry & Neurology Pain Medicine |
Enumeration Date | 2022-09-12 |
Last Update Date | 2022-09-13 |