Suzanne Mattos Grondin in Worcester - Podiatrist
Suzanne Mattos Grondin - NPI 1639217276
Suzanne Mattos Grondin is a Podiatrist in Worcester, Massachusetts. Suzanne Mattos Grondin practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Suzanne Mattos Grondin is 1639217276. The last update date is 2016-04-25.
Suzanne Mattos Grondin's current location address is 123 Summer St, Worcester, Massachusetts. You can contact this provider via phone number 5083636868 and fax number 5083636866. The mailing address for Suzanne Mattos Grondin is 123 Summer St, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suzanne Mattos Grondin |
|---|---|
| Address | 123 Summer St, Worcester, Massachusetts |
| Phone Number | 5083636868 |
| Fax Number | 5083636866 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1639217276 |
|---|---|
| Provider Enumeration Date | 2007-02-04 |
| Last Updated Date | 2016-04-25 |
Provider Mailing Address Detail
| Address | 123 Summer St |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 16081216 |
| Phone Number | 5083636868 |
| Fax Number | 5083636866 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 2319 |
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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 |
|---|---|---|---|
| 711772 | MA | -- | |
| 121815 | MA | FALLON HEALTH PLAN | |
| Y71137 | MA | BLUE SHEILD OF MA | |
| 466883 | MA | TUFTS HEALTH PLAN | |
| AA84858 | MA | HARVARD PILGRIM HEALTH |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Suzanne Mattos Grondin by the Centers for Medicare & Medicaid Services?
The Suzanne Mattos Grondin has been issued the NPI (National Provider Identifier) 1639217276 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Suzanne Mattos Grondin's facilities are geographically located?
The facilities of Suzanne Mattos Grondin are physically situated at the following location: 123 Summer St, Worcester, MA, 16081216.
What is Suzanne Mattos Grondin's area of expertise and its corresponding taxonomy classification?
The Suzanne Mattos Grondin's field of specialization is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Suzanne Mattos Grondin receive its 1639217276 assignment from the Centers for Medicare & Medicaid Services?
The Suzanne Mattos Grondin was assigned its 1639217276 on 2007-02-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Suzanne Mattos Grondin's details last updated?
The information pertaining to the Suzanne Mattos Grondin, including its address, specialty, and other details, was most recently updated on 2016-04-25.