| NPI | 1871048462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN CHARLES DICKERT Owner 413-736-3225 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MA 1884) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |