Organization
NEW ENGLAND PODIATRY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD BRIAN ETSKOVITZ D.P.M. (PODIATRIST)
(781) 891-3311
Entity
Organization
Contact information
Practice address
669 MAIN ST, WALTHAM, MA 02451-0602
(781) 891-3311
(781) 891-1315
Mailing address
669 MAIN ST, WALTHAM, MA 02451-0602
(781) 891-3311
(781) 891-1315
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1948
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9740333
—
MA
Enumeration date
06/12/2007
Last updated
09/15/2011
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