NPI | 1417134859 |
---|---|
Other Name | BEVERLY PODIATRY |
Entity Type | Organization |
Authorized Contact | TIMOTHY TOBIN Podiatrist/Owner 978-922-0288 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MA 1930) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: MA 1930) |
Enumeration Date | 2008-01-29 |
Last Update Date | 2023-05-11 |