| NPI | 1912454745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET WEISHAUS Billing Manager 781-235-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |