| NPI | 1619414505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MCLAUGHLIN Office Manager 508-335-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MA MA1877) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2024-10-09 |