Michael Hercules Theodoulou in Somerville - Podiatrist
Michael Hercules Theodoulou - NPI 1760430755
Michael Hercules Theodoulou is a Podiatrist in Somerville, Massachusetts. Michael Hercules Theodoulou practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Michael Hercules Theodoulou is 1760430755. The last update date is 2011-12-08.
Michael Hercules Theodoulou's current location address is 230 Highland Ave, Somerville, Massachusetts. You can contact this provider via phone number 6176651000. The mailing address for Michael Hercules Theodoulou is 230 Highland Ave, Somerville, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Hercules Theodoulou |
|---|---|
| Address | 230 Highland Ave, Somerville, Massachusetts |
| Phone Number | 6176651000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1760430755 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2011-12-08 |
Provider Mailing Address Detail
| Address | 230 Highland Ave |
|---|---|
| City | Somerville |
| State | Massachusetts (MA) |
| Post Code | 21431408 |
| Phone Number | 6176651000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | PO558 |
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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 |
|---|---|---|---|
| 110084502A | MA | -- |
Post Comment/ Review Below
What is the Michael Hercules Theodoulou's 1760430755?
The Michael Hercules Theodoulou's NPI (National Provider Identifier) Number is 1760430755. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Michael Hercules Theodoulou is physically located?
The Michael Hercules Theodoulou is situated at the following address: 230 Highland Ave, Somerville, MA 21431408.
What is the Michael Hercules Theodoulou's area of specialization and corresponding taxonomy classification?
The Michael Hercules Theodoulou'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 Michael Hercules Theodoulou receive its 1760430755 assignment from the Centers for Medicare & Medicaid Services?
The Michael Hercules Theodoulou was assigned its 1760430755 by the Centers for Medicare & Medicaid Services on 2006-05-04.
When was the information related to Michael Hercules Theodoulou most recently updated or refreshed?
The details pertaining to the Michael Hercules Theodoulou, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-12-08.
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