| NPI | 1447462601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WYNN ADAM PERLICK President 617-773-2313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: MA 2053) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2009-07-15 |