Organization
FAMILY FOOT CARE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA A FONTAINE DPM (PRESIDENT)
(978) 874-1300
Entity
Organization
Contact information
Practice address
32 STATE ROAD EAST, WESTMINSTER, MA 01473
(978) 874-1300
(978) 874-6244
Mailing address
32 STATE ROAD EAST, WESTMINSTER, MA 01473
(978) 874-1300
(978) 874-6244
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2063
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2196
FALLON
MA
01
—
610926
TUFTS HEALTH PLAN
MA
05
—
9741381
—
MA
01
—
AA21094
HARVARD PILGRIM HEALTH
MA
01
—
Y77347
BLUE SHEILD OF MA
MA
Enumeration date
11/28/2006
Last updated
01/07/2010
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