| NPI | 1902080880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE GARLAND Office Mgr 617-846-2609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MA 1786) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2013-05-06 |