Organization Name: | ADVANCED PODIATRIC ASSOCIATES, INC. |
NPI Number: | 1477894954 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JONATHAN A. MILLER (PRESIDENT) |
Mailing Address: | 31 Meeting House Rd South Chatham |
State: | MA US |
Postal Code: | 026591400 |
Phone Number: | 5088577170 |
Fax Number: | 5087724363 |
NPI Enumeration Date: | 03/08/2013 |
NPI Last Update Date: | 03/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 2142 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |