Organization Name: | HAMPDEN PODIATRY ASSOCIATES |
NPI Number: | 1538212352 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN JOSEPH VOMERO (PARTNER) |
Mailing Address: | 77 Winsor St Suite 204 Ludlow |
State: | MA US |
Postal Code: | 010563469 |
Phone Number: | 4135897287 |
Fax Number: | 4135478065 |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 1779 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |