SCITUATE PODIATRY GROUP INC NPI 1497731657

NPI Information

SCITUATE PODIATRY GROUP INC is a foot and ankle surgery podiatrist in Dorchester Center, MA. SCITUATE PODIATRY GROUP INC NPI is 1497731657. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2100 DORCHESTER AVE
DORCHESTER CENTER, MA
ZIP 02124-615
Phone: (617) 296-0742
Fax: (617) 296-4357

The provider's authorized official is Gary W Count .
The authorized official title is Dpm/owner and has the following contact phone number (781) 545-9285.

The CLIA number assigned to this NPI record is 22D2202585 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2005 and was last updated on 5/5/2008.

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:

Other Identifiers

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