| NPI | 1013682905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PASQUALE CANCELLIERE Podiatrist, Owner 603-216-2972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2021-10-20 |