| NPI | 1528109816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BARRY GIMBEL President 781-641-0107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: MA 1394) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2009-08-10 |