NPI | 1366528259 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN JOHN MERENA President 802-879-7992 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: VT 056-0000174) |
Enumeration Date | 2006-10-31 |
Last Update Date | 2020-08-22 |