| NPI | 1518430156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PASQUALE CANCELLIERE Provider 978-810-5425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2021-02-12 |