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GEORGE J DUCACH DPM PC NPI 1992816698


NPI Information

NPI: 1992816698
Provider Name: GEORGE J DUCACH DPM PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1261 FURNACE BROOK PARKWAY
SUITE #18
QUINCY, MA
ZIP 02169
Phone: (617) 773-4300
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GEORGE J DUCACH DPM PC is a podiatrist in Quincy, MA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. GEORGE J DUCACH DPM PC NPI is 1992816698. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1261 FURNACE BROOK PARKWAY
SUITE #18
QUINCY, MA
ZIP 02169
Phone: (617) 773-4300
Fax: (617) 773-4301

The provider's authorized official is George J Ducach .
The authorized official title is President Owner and has the following contact phone number (617) 773-4300.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 9/17/2010.


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
1213E00000XPodiatrist1762MASSACHUSETTSYes

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
1605663OTHERMASSACHUSETTSTUFTS
2Y78030MEDICARE ID-TYPE UNSPECIFIED
3Y77241OTHERMASSACHUSETTSBLUE CROSS
4T58786MEDICARE UPIN

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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