| NPI | 1174490130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET D PEARL CEO 508-665-4344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2025-10-22 |