| NPI | 1811178593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK S CAMPO Doctor 617-248-8682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MA 1907) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2007-11-21 |