Organization Name: | HARRY L. SHOEMAKER, DPM |
NPI Number: | 1093020075 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HARRY LEROY SHOEMAKER (OWNER) |
Mailing Address: | 167 Broadway Taunton |
State: | MA US |
Postal Code: | 027802547 |
Phone Number: | 5088249571 |
Fax Number: | 5088281268 |
NPI Enumeration Date: | 08/13/2010 |
NPI Last Update Date: | 10/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | 1661 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |