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Individual

JOYCE R CHILD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
1 COMPASS WAY, SUITE 208, EAST BRIDGEWATER, MA 02333-1465
(508) 350-2222
(508) 350-2316
Mailing address
362 N BEDFORD ST, EAST BRIDGEWATER, MA 02333-1148
(508) 350-2450
(508) 350-2318

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2148
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3021319
MA
01
LX5194
MEDICARE PTAN
MA
Enumeration date
08/01/2006
Last updated
03/10/2011
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