| NPI | 1639785462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIMENE CAROLE NGNINTOUNDEM Owner 617-319-8773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2021-04-12 |