Andover Podiatry Pc in Andover - Podiatrist
Andover Podiatry Pc - NPI 1902015142
Andover Podiatry Pc is a Podiatrist in Andover, Massachusetts. Andover Podiatry Pc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Andover Podiatry Pc is 1902015142. The last update date is 2022-07-21.
Andover Podiatry Pc's current location address is 107 Main St, Andover, Massachusetts. You can contact this provider via phone number 9784751313 and fax number 9784751166. The mailing address for Andover Podiatry Pc is 107 Main St, Andover, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Andover Podiatry Pc |
|---|---|
| Address | 107 Main St, Andover, Massachusetts |
| Phone Number | 9784751313 |
| Fax Number | 9784751166 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Hurchik M John |
| Credentials | DPM |
| Telephone Number | 9784751313 |
NPI Number Detail
| NPI Number | 1902015142 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 107 Main St |
|---|---|
| City | Andover |
| State | Massachusetts (MA) |
| Post Code | 18103803 |
| Phone Number | 9784751313 |
| Fax Number | 9784751166 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 1991 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9738584 | MA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Andover Podiatry Pc by the Centers for Medicare & Medicaid Services?
The Andover Podiatry Pc has been issued the NPI (National Provider Identifier) 1902015142. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Andover Podiatry Pc is physically located?
The Andover Podiatry Pc is situated at the following address: 107 Main St, Andover, MA 18103803.
What is Andover Podiatry Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Andover Podiatry Pc's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.
On what date did Andover Podiatry Pc receive its 1902015142 assignment from the Centers for Medicare & Medicaid Services?
The Andover Podiatry Pc was assigned its 1902015142 on 2007-05-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Andover Podiatry Pc most recently updated?
The details pertaining to the Andover Podiatry Pc, including its address, specialty, and other relevant information, were last refreshed on 2022-07-21.