| NPI | 1790986958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCY ANN DILIDDO Compliance Officer 781-290-1807 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-02-20 |