| NPI | 1225079940 |
|---|---|
| Doing Business As | BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | CELESTE C DAYE Director Of Patient Accounting 617-632-3935 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2007-09-07 |