| NPI | 1609918283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES FREDEDRICK ROSS President 413-443-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MA 1845) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-03-07 |