| NPI | 1710169487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E. KELLY MCLAUGHLIN D.P.M. 508-226-8070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MA MA1877) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MA MA1877) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2025-03-12 |