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Organization
WAKEFIELD PLACE PODIATRY
Active
Organization
WAKEFIELD PLACE PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYANNE SACHETTA D.P.M. (PRESIDENT)
(781) 224-3667
Entity
Organization
Contact information
Practice address
380 LOWELL ST, STE. 101B, WAKEFIELD, MA 01880-1984
(781) 224-3667
Mailing address
PO BOX 2190, WEST PEABODY, MA 01960-7190
(781) 231-7026
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2185
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4751670001
MEDICARE NSC
MA
05
—
9721070
—
MA
Enumeration date
05/20/2006
Last updated
03/26/2008
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