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Contact Information

YOO FOOT AND ANKLE PODIATRY, LLC.
2110 DORCHESTER AVE STE 203
DORCHESTER, MA02124
 Phone: 617-696-5355
 Fax: 617-696-5357
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for YOO FOOT AND ANKLE PODIATRY LLC · (Female)

NPI # 1952848103
Status Active
Credentials
Entity Individual
Enumeration date 01/26/2017
Last updated 12/19/2018 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA Medicaid 110122599A
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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