| NPI | 1669523098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C BOGUE President 401-934-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: RI 000292) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: RI 000292) |
| Enumeration Date | 2007-01-14 |
| Last Update Date | 2007-12-18 |