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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

NPI Number 1902015142
LBN Legal business name ANDOVER PODIATRY PC
Authorized official JOHN HURCHIK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/22/2007
Last updated 07/21/2022 - About 4 years ago
Identifiers
MA License # 1991
MA Medicaid 9738584
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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