Organization Name: | AFFILIATED PODIATRISTS PC |
NPI Number: | 1538276910 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRUCE T CROFT (PRESIDENT) |
Mailing Address: | 795 Main St Holden |
State: | MA US |
Postal Code: | 015203800 |
Phone Number: | 5088296645 |
Fax Number: | 5088295633 |
NPI Enumeration Date: | 08/23/2006 |
NPI Last Update Date: | 09/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 1563 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |