| NPI | 1730844994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCY ANN DILIDDO Director Of Regional Billing Ops 781-290-1807 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2021-11-03 |