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 |