| NPI | 1154762375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE LURIA Owner 617-964-3366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MA 4810) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-16 |