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Organization
TRI-TOWN PODIATRY, P.C.
Active
Organization
TRI-TOWN PODIATRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA VASSERMAN DPM (OWNER)
(617) 232-6964
Entity
Organization
Contact information
Practice address
209 HARVARD ST, SUITE 308, BROOKLINE, MA 02446-5071
(617) 232-6964
Mailing address
209 HARVARD ST, SUITE 308, BROOKLINE, MA 02446-5071
(617) 232-6964
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1982
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0980614
AETNA
MA
01
—
339068
HPHC
MA
01
—
608577
TUFTS
MA
Enumeration date
05/08/2007
Last updated
07/30/2012
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