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Contact Information

ANDOVER PODIATRY PC
107 MAIN ST
ANDOVER, MA01810-3803
 Phone: 978-475-1313
 Fax: 978-475-1166
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ANDOVER PODIATRY PC · (Female)

NPI # 1902015142
Status Active
Credentials
Entity Individual
Enumeration date 05/22/2007
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA License # 1991
  • MA Medicaid 9738584
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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