NPI: 1912200627 · MILTON, MA 02186 · Point of Service · NPI assigned 12/20/2010
| Authorized Official | HARTLEY, DEBRA (MANAGER) |
| NPI Enumeration Date | 12/20/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $36.07 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99072 | 12 | 12 | $36.07 |