Individual
DR. JAMES JOHN DIRESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM, MPH
Contact information
Practice address
37 1/2 FORRESTER ST, PROFESSIONAL BUILDING, NEWBURYPORT, MA 01950-1938
(978) 465-2122
(978) 465-0450
Mailing address
37 1/2 FORRESTER STREET, PROFESSIONAL BUILDING, NEWBURYPORT, MA 01950
(978) 465-2122
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1523
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
702862
TAHP
MA
01
—
Y70643
BLUE SHIELD
MA
Enumeration date
06/02/2006
Last updated
10/22/2015
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