| NPI | 1518325281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK S CAMPO Owner/Podiatrist 617-248-8682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MA 1907) |
| Additional Taxonomies | 213ER0200X Podiatrist, Radiology (Licence: MA 1907) |
| 213ES0000X Podiatrist, Sports Medicine (Licence: MA 1907) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: MA 1907) | |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |