| NPI | 1275933293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CARROLL President 781-272-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MA 1685) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-28 |