NPI | 1831251693 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN E WASCAVAGE Owner 508-879-0811 |
Organization Subpart ? | No |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
Additional Taxonomies | 213E00000X Podiatrist |
Enumeration Date | 2006-12-15 |
Last Update Date | 2024-04-05 |