| NPI | 1982774923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CARL KRUPA Owner President 781-224-3505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |