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METHUEN PODIATRY ASSOCIATES LLC NPI 1508155797


NPI Information

NPI: 1508155797
Provider Name: METHUEN PODIATRY ASSOCIATES, LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
191 BROADWAY
METHUEN, MA
ZIP 01844
Phone: (978) 682-0382
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METHUEN PODIATRY ASSOCIATES, LLC is a podiatrist in Methuen, 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. METHUEN PODIATRY ASSOCIATES, LLC NPI is 1508155797. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

191 BROADWAY
METHUEN, MA
ZIP 01844-837
Phone: (978) 682-0382
Fax: (978) 975-3585

The provider's authorized official is Marc David Klein .
The authorized official title is Partner and has the following contact phone number (978) 682-0382.

The enumeration date for this NPI number is 3/29/2011 and was last updated on 3/29/2011.


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
1213E00000XPodiatrist1567MASSACHUSETTSYes

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
19756680MEDICAIDMASSACHUSETTS
2Y78072MEDICARE PINMASSACHUSETTS

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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