| NPI | 1437339868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE MCCULLOUGH Dpm 978-458-4011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213ES0000X Podiatrist, Sports Medicine | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2008-07-03 |