| NPI | 1467759977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP BASILE President 888-352-0082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MA PD1920) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-02-17 |