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Organization
ANDOVER PODIATRY PC
Active
Organization
ANDOVER PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M HURCHIK DPM (PRESIDENT)
(978) 475-1313
Entity
Organization
Contact information
Practice address
107 MAIN ST, ANDOVER, MA 01810-3803
(978) 475-1313
(978) 475-1166
Mailing address
107 MAIN ST, ANDOVER, MA 01810-3803
(978) 475-1313
(978) 475-1166
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1991
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9738584
—
MA
Enumeration date
05/22/2007
Last updated
07/21/2022
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