| NPI | 1770687485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PECK Owner 617-515-3970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 253487001) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2024-12-03 |