Organization Name: | ACTON FOOT AND ANKLE LLC |
NPI Number: | 1033526728 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RODNEY GALLO (OWNER) |
Mailing Address: | 179 Great Rd Acton |
State: | MA US |
Postal Code: | 017205777 |
Phone Number: | 9786350229 |
Fax Number: | |
NPI Enumeration Date: | 07/15/2014 |
NPI Last Update Date: | 07/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |