| Organization Name: | FOOT HEALTH CENTER OF MERRIMACK VALLEY - LOWELL PC |
| NPI Number: | 1093055956 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERESA J BURTOFT (MANAGING PARTNER) |
| Mailing Address: | 451 Andover St Suite 209 North Andover |
| State: | MA US |
| Postal Code: | 018455044 |
| Phone Number: | 9786867623 |
| Fax Number: | 9786839911 |
| NPI Enumeration Date: | 02/28/2013 |
| NPI Last Update Date: | 02/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 2106 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |