| NPI | 1932210572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J CAVANAUGH President 508-775-3112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MA 26272) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: MA 26272) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: MA 26272) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |