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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.

NPI Number 1952848103
LBN Legal business name YOO FOOT AND ANKLE PODIATRY, LLC.
Authorized official KI-HYUK YOO - (DPM/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/26/2017
Last updated 12/19/2018 - About 7 years ago
Identifiers
MA Medicaid 110122599A
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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