| NPI | 1902963705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M CHADBOURNE Owner 413-746-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MA 59098) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |