| NPI | 1437985074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SKONIECZNY Partner 508-747-1973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-09-10 |