| NPI | 1477984185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY ANNE COOK Member/Physician 617-354-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MA 2327) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MA 2328) |
| 213EP0504X Podiatrist Public Medicine (Licence: MA 2327) | |
| 213EP0504X Podiatrist Public Medicine (Licence: MA 2328) | |
| 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: MA 2327) | |
| 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: MA 2328) | |
| 213ER0200X Podiatrist Radiology (Licence: MA 2327) | |
| 213ER0200X Podiatrist Radiology (Licence: MA 2328) | |
| 213ES0000X Podiatrist Sports Medicine (Licence: MA 2327) | |
| 213ES0000X Podiatrist Sports Medicine (Licence: MA 2328) | |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MA 2327) | |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MA 2328) | |
| 213ES0131X Podiatrist Foot Surgery (Licence: MA 2327) | |
| 213ES0131X Podiatrist Foot Surgery (Licence: MA 2328) | |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2013-12-30 |