| NPI | 1982742532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL A MURPHY Office Manager 508-879-4407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 155016) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 44666) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |