| NPI | 1386852580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT S STIPEK Owner 781-272-5484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MA 1455) |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2008-06-18 |