| NPI | 1942664818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY YANNALFO Practice Manager 781-279-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2018-01-25 |