| NPI | 1265122329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHSAN RAZA JAFFRI Owner/Manager 617-209-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2024-12-24 |