| NPI | 1962638692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN S COLAGIOVANNI Assistand Administrator 508-717-0266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: MA 5404) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-09 |