| NPI | 1952257859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASIL MATTHEW MICHAELS Surgeon 413-496-9272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2026-03-05 |
| Last Update Date | 2026-03-05 |