NPI | 1134697923 |
---|---|
Other Name | HAWTHORN DME |
Entity Type | Organization |
Authorized Contact | SANJAY SHETTY President Of Steward Medical Group 617-419-4712 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2018-11-09 |
Last Update Date | 2018-11-09 |