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Organization
PLYMOUTH PODIATRY PC
Active
Organization
PLYMOUTH PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J. SKONIECZNY (OWNER PROVIDER)
(508) 747-1973
Entity
Organization
Contact information
Practice address
68 CAMP ST STE 2, HYANNIS, MA 02601-3048
(774) 470-4507
(774) 810-7189
Mailing address
116 COURT ST STE 3, PLYMOUTH, MA 02360-8710
(508) 747-1973
(508) 747-5392
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
07/11/2022
Last updated
11/08/2023
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