| NPI | 1003010273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD BRIAN ETSKOVITZ Podiatrist 781-891-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MA 1948) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2011-09-15 |