| NPI | 1407136112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE EDWARD MCGINNESS Owner 978-922-0288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MA 1520) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MA 1520) |
| 213ES0000X Podiatrist, Sports Medicine (Licence: MA 1520) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MA 1520) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: MA 1520) | |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-11-15 |