Ewald Ray Mendeszoon in Boston - Foot Surgery

Ewald Ray Mendeszoon - NPI 1528031952

Ewald Ray Mendeszoon is a Foot Surgery in Boston, Massachusetts. Ewald Ray Mendeszoon practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Ewald Ray Mendeszoon is 1528031952. The last update date is 2017-09-28.

Ewald Ray Mendeszoon's current location address is 732 Harrison Avenue, Boston, Massachusetts. You can contact this provider via phone number 6174146840 and fax number 6174146710. The mailing address for Ewald Ray Mendeszoon is 732 Harrison Avenue, Boston, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Ewald Ray Mendeszoon
Address 732 Harrison Avenue, Boston, Massachusetts
Phone Number 6174146840
Fax Number 6174146710
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1528031952
Provider Enumeration Date 2006-02-08
Last Updated Date 2017-09-28

Provider Mailing Address Detail

Address 732 Harrison Avenue
City Boston
State Massachusetts (MA)
Post Code 2118
Phone Number 6174146840
Fax Number 6174146710

Provider's Primary Taxonomy Detail

Speciality Foot Surgery
Taxonomy 213Es0131X
Licence No 2092
Definition:
A doctor of podiatric medicine who specializes in performing foot and ankle surgeries.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
110013015A MA --

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FAQs about Ewald Ray Mendeszoon

What is the unique provider identifier assigned to Ewald Ray Mendeszoon?

The Ewald Ray Mendeszoon has been issued the NPI (National Provider Identifier) 1528031952 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 address where Ewald Ray Mendeszoon is geographically located?

The Ewald Ray Mendeszoon is physically situated at the following location: 732 Harrison Avenue, Boston, MA, 2118.

What is Ewald Ray Mendeszoon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Ewald Ray Mendeszoon is Foot Surgery, and the taxonomy code that categorizes this field of expertise is 213Es0131X.

On what date did Ewald Ray Mendeszoon receive its 1528031952 assignment from the Centers for Medicare & Medicaid Services?

The Ewald Ray Mendeszoon was assigned its 1528031952 on 2006-02-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Ewald Ray Mendeszoon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Ewald Ray Mendeszoon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-09-28.

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