| NPI | 1295918969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL J WACHTEL Owner/President 978-794-8406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MA 001978) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2024-12-02 |