Marvela Gratia Hermanus in Wellesley - Podiatrist

Marvela Gratia Hermanus - NPI 1467466995

Marvela Gratia Hermanus is a Podiatrist in Wellesley, Massachusetts. Marvela Gratia Hermanus practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Marvela Gratia Hermanus is 1467466995. The last update date is 2012-08-27.

Marvela Gratia Hermanus's current location address is 888 Worcester St, Wellesley, Massachusetts. You can contact this provider via phone number 6179646681 and fax number 3396862561. The mailing address for Marvela Gratia Hermanus is 888 Worcester St, Wellesley, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Marvela Gratia Hermanus
Address 888 Worcester St, Wellesley, Massachusetts
Phone Number 6179646681
Fax Number 3396862561
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1467466995
Provider Enumeration Date 2006-07-28
Last Updated Date 2012-08-27

Provider Mailing Address Detail

Address 888 Worcester St
City Wellesley
State Massachusetts (MA)
Post Code 24823744
Phone Number 6179646681
Fax Number 3396862561

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 2209
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
29310-1/412354 RI BLUE CROSS BLUE SHIELD
480031933 MEDICARE RAILROAD
322016 MA --
MH48662 RI --
Y71109 MA BLUE CROSS BLUE SHIELD

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FAQs about Marvela Gratia Hermanus

What is the unique provider identifier assigned to Marvela Gratia Hermanus?

The Marvela Gratia Hermanus has been issued the NPI (National Provider Identifier) 1467466995 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Marvela Gratia Hermanus's facilities are situated?

The facilities of Marvela Gratia Hermanus are physically located at the following address: 888 Worcester St, Wellesley, MA, 24823744.

What is the Marvela Gratia Hermanus's area of specialization and corresponding taxonomy classification?

The Marvela Gratia Hermanus's specialty field is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their specialties.

When did the Marvela Gratia Hermanus receive its 1467466995?

The Marvela Gratia Hermanus was issued its 1467466995 on 2006-07-28, which is the date when the organization was assigned this unique identifier.

When was the information regarding Marvela Gratia Hermanus most recently updated?

The details pertaining to the Marvela Gratia Hermanus, including its address, specialty, and other relevant information, were last refreshed on 2012-08-27.

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