NPI | 1639409295 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES A ANDERSON President 508-473-2273 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Additional Taxonomies | 231H00000X Audiologist (Licence: MA 204) |
122300000X Dentist | |
152W00000X Optometrist | |
Enumeration Date | 2010-01-05 |
Last Update Date | 2020-10-07 |