| 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 |