| NPI | 1609045905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDSON LEWIS SIEGEL Podiatrist 508-481-3659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MA 2090) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |