| NPI | 1073938619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN POGOR President 978-376-1875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 122300000X Dentist |
| 213E00000X Podiatrist | |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |