JONATHAN F. KETCHUM

WORCESTER, MA
NPI1922195627
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213EP1101X Podiatrist, Primary Podiatric Medicine
(Licence: MA  2087)
Enumeration Date2006-10-06
Last Update Date2008-03-25
Business Address
-- JONATHAN F. KETCHUM D.P.M.
488 PLEASANT ST
WORCESTER, MA 01609-1857
Phone number: 508-755-9573
Mailing Address
-- JONATHAN F. KETCHUM D.P.M.
126 BUSHY LN
RUTLAND, MA 01543-2025
Phone number: 508-886-6280