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DOCTORS FOOT CARE GROUP NPI 1447462601


NPI Information

NPI: 1447462601
Provider Name: DOCTORS FOOT CARE GROUP

Former Legal Business Name: DOCTORS FOOT CARE GROUP

Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
111 WILLARD ST
SUITE 2F
QUINCY, MA
ZIP 02169
Phone: (617) 773-2313
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DOCTORS FOOT CARE GROUP is a foot surgery podiatrist in Quincy, MA. DOCTORS FOOT CARE GROUP NPI is 1447462601. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Doctors Foot Care Group.

The provider's business location address is:

111 WILLARD ST
SUITE 2F
QUINCY, MA
ZIP 02169-200
Phone: (617) 773-2313

The provider's authorized official is Wynn Adam Perlick .
The authorized official title is President and has the following contact phone number (617) 773-2313.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 7/15/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0131XPodiatristFoot Surgery2053MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11194680001MEDICARE NSCMASSACHUSETTS
2U59427MEDICARE UPINMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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