| NPI | 1225079940 |
|---|---|
| Doing Business As | BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | PAUL DEMBINSKI Sr. Director Of PFS 617-632-3935 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2024-11-05 |