| NPI | 1942678560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE J GUERINO Office Administrator 508-655-0471 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2022-11-15 |