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 |