| NPI | 1841690377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MARIA DESANTIS Billing Manager 781-231-7026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: ME POD1032) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-03 |