NPI | 1245929215 |
---|---|
Entity Type | Organization |
Authorized Contact | CANDACE M BEDROSIAN-GREGORIAN Sole Proprietor 978-884-2519 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Additional Taxonomies | 302F00000X Exclusive Provider Organization |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2023-05-04 |
Last Update Date | 2023-05-04 |