| NPI | 1487428769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. SKONIECZNY Partner 508-747-1973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2023-11-08 |