| NPI | 1700350295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA HIBBETT Executive Director 508-473-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213EP1101X Podiatrist, Primary Podiatric Medicine | |
| 213ES0000X Podiatrist, Sports Medicine | |
| 213ES0131X Podiatrist, Foot Surgery | |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2020-10-07 |