| NPI | 1801884721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN P CWASS Owner 413-525-4373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MA 2038) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MA 2189) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2013-02-25 |