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Individual
JOYCE R CHILD
Active
Individual
JOYCE R CHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2148
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3021319
—
MA
01
—
LX5194
MEDICARE PTAN
MA
Enumeration date
08/01/2006
Last updated
03/10/2011
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