| NPI | 1689709578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MICHAEL LACONTE President 508-752-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MA 1897) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2022-01-10 |