| NPI | 1992734677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD J MONCHIK President 508-676-3411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2013-09-03 |