Organization
PRIME FOOT AND ANKLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL GEORGES (DPM)
(508) 667-8200
Entity
Organization
Contact information
Practice address
817 MERRIMACK ST, LOWELL, MA 01854-3571
(508) 667-8200
Mailing address
817 MERRIMACK ST, LOWELL, MA 01854-3571
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
2439
MA
213ES0103X
Foot & Ankle Surgery Podiatrist
2439
MA
213ES0131X
Foot Surgery Podiatrist
2439
MA
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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