NPI | 1912449133 |
---|---|
Entity Type | Organization |
Authorized Contact | AYLEEN GREGORIAN Owner 781-254-7093 |
Organization Subpart ? | No |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MA 2165) |
Enumeration Date | 2016-11-07 |
Last Update Date | 2016-11-07 |