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NEW ENGLAND PODIATRY ASSOCIATES P.C. NPI 1003010273


NPI Information

NPI: 1003010273
Provider Name: NEW ENGLAND PODIATRY ASSOCIATES, P.C.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
669 MAIN ST
WALTHAM, MA
ZIP 02451
Phone: (781) 891-3311
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NEW ENGLAND PODIATRY ASSOCIATES, P.C. is a foot and ankle surgery podiatrist in Waltham, MA. NEW ENGLAND PODIATRY ASSOCIATES, P.C. NPI is 1003010273. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

669 MAIN ST
WALTHAM, MA
ZIP 02451-602
Phone: (781) 891-3311
Fax: (781) 891-1315

The provider's authorized official is Ronald Brian Etskovitz .
The authorized official title is Podiatrist and has the following contact phone number (781) 891-3311.

The enumeration date for this NPI number is 6/12/2007 and was last updated on 9/15/2011.


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
1213ES0103XPodiatristFoot & Ankle Surgery1948MASSACHUSETTSYes

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
1Y77080MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSMEDICARE GROUP NUMBER
29740333MEDICAIDMASSACHUSETTS

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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