Individual
PAUL JOSEPH PANTANO II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
32 SOUTH ST, SUITE 300A, WALTHAM, MA 02453
(781) 893-1443
(781) 231-9320
Mailing address
PO BOX 540326, WALTHAM, MA 02454
(781) 893-1443
(781) 231-9320
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1547
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0340855
—
MA
Enumeration date
09/12/2006
Last updated
11/01/2010
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