East Providence Footcare,Inc. in Andover - Podiatrist
East Providence Footcare,Inc. - NPI 1811905169
East Providence Footcare,Inc. is a Podiatrist in Andover, Massachusetts. East Providence Footcare,Inc. practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for East Providence Footcare,Inc. is 1811905169. The last update date is 2008-06-03.
East Providence Footcare,Inc.'s current location address is Po Box 3160, Andover, Massachusetts. You can contact this provider via phone number 9784748885 and fax number 9784748845. The mailing address for East Providence Footcare,Inc. is Po Box 3160, Andover, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Providence Footcare,Inc. |
|---|---|
| Address | Po Box 3160, Andover, Massachusetts |
| Phone Number | 9784748885 |
| Fax Number | 9784748845 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Dimatteo Anthony Dennis |
| Credentials | DPM |
| Telephone Number | 4014388090 |
NPI Number Detail
| NPI Number | 1811905169 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2008-06-03 |
Provider Mailing Address Detail
| Address | Po Box 3160 |
|---|---|
| City | Andover |
| State | Massachusetts (MA) |
| Post Code | 18100803 |
| Phone Number | 9784748885 |
| Fax Number | 9784748845 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | DPMO198 |
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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 |
|---|---|---|---|
| 9018099 | RI | -- |
Post Comment/ Review Below
What is the East Providence Footcare,Inc.'s 1811905169?
The East Providence Footcare,Inc.'s NPI (National Provider Identifier) Number is 1811905169. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where East Providence Footcare,Inc. is geographically located?
The East Providence Footcare,Inc. is physically situated at the following location: Po Box 3160, Andover, MA, 18100803.
What is the East Providence Footcare,Inc.'s area of specialization and corresponding taxonomy classification?
The East Providence Footcare,Inc.'s specialty field is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1811905169 to East Providence Footcare,Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1811905169 to East Providence Footcare,Inc. on 2006-08-03.
When was the information related to East Providence Footcare,Inc. most recently updated or refreshed?
The details pertaining to the East Providence Footcare,Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-03.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY