NPI | 1669515706 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD BRIAN ETSKOVITZ Podiatrist 617-630-8280 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: MA 1948) |
Enumeration Date | 2007-02-15 |
Last Update Date | 2017-04-12 |