| NPI | 1841478401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL DERRICKSON President 781-431-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MA MA-5524) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |