| NPI | 1407933732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MARC VAN ESS President 978-744-1309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MA 2119) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-05-20 |