Wynn A Perlick in Quincy - Podiatrist

Wynn A Perlick - NPI 1184714115

Wynn A Perlick is a Podiatrist in Quincy, Massachusetts. Wynn A Perlick practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Wynn A Perlick is 1184714115. The last update date is 2011-10-13.

Wynn A Perlick's current location address is 111 Willard St, Quincy, Massachusetts. You can contact this provider via phone number 6177732313 and fax number 6173283861. The mailing address for Wynn A Perlick is 111 Willard St, Quincy, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Wynn A Perlick
Address 111 Willard St, Quincy, Massachusetts
Phone Number 6177732313
Fax Number 6173283861
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1184714115
Provider Enumeration Date 2006-10-13
Last Updated Date 2011-10-13

Provider Mailing Address Detail

Address 111 Willard St
City Quincy
State Massachusetts (MA)
Post Code 21691200
Phone Number 6177732313
Fax Number 6173283861

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 2053
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
42297845 GREAT WEST HEALTH CARE
42297845 PHCS/MULTI-PLAN
42297845 GIC/UNICARE
2053 TUFTS MEDICARE PREFERRED
1215062 FALLON
Y71014 MA BLUE CROSS
43376631 GIC
43376631 PHCS
43376631 PRUDENTIAL
33917 HARVARD PILGRIM

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FAQs about Wynn A Perlick

What is the unique identification code assigned to Wynn A Perlick by the Centers for Medicare & Medicaid Services?

The Wynn A Perlick has been issued the NPI (National Provider Identifier) 1184714115. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Wynn A Perlick's facilities are situated?

The facilities of Wynn A Perlick are physically located at the following address: 111 Willard St, Quincy, MA, 21691200.

What is Wynn A Perlick's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Wynn A Perlick's specialized field of practice is Podiatrist, and the corresponding taxonomy code that categorizes this area of specialization is 213E00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1184714115 to Wynn A Perlick?

The Wynn A Perlick received its 1184714115 assignment from the Centers for Medicare & Medicaid Services on 2006-10-13.

When was the information regarding Wynn A Perlick most recently updated?

The details pertaining to the Wynn A Perlick, including its address, specialty, and other relevant information, were last refreshed on 2011-10-13.

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