Organization Name: | MERRIMACK VALLEY PODIATRY PC |
NPI Number: | 1457407223 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN PIZZUTO (PODIATRIST) |
Mailing Address: | 1168 Lakeview Ave Dracut |
State: | MA US |
Postal Code: | 018264763 |
Phone Number: | 9789579800 |
Fax Number: | 9789573700 |
NPI Enumeration Date: | 01/26/2007 |
NPI Last Update Date: | 03/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 1904 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |