| NPI | 1114693900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PASQUALE CANCELLIERE Owner 617-629-2806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-10-20 |