NPI | 1962492090 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH NEIL WILSON President 508-478-0555 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
Enumeration Date | 2005-10-28 |
Last Update Date | 2020-08-22 |