NPI | 1134260169 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBBIE MOSTONE Associate CEO 781-396-8737 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: MA 1793) |
Enumeration Date | 2007-02-11 |
Last Update Date | 2013-03-07 |