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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 DPM (PARTNER)
(508) 747-1973
Entity
Organization
Contact information
Practice address
675 PARAMOUNT DR STE 204, RAYNHAM, MA 02767-5416
(508) 936-3028
(508) 828-1268
Mailing address
116 COURT ST STE 3, PLYMOUTH, MA 02360-8710
(508) 747-1973
(508) 747-5392
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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