Individual
PAUL M. HEFFERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-3570
(617) 665-3598
Mailing address
65 FAYERWEATHER ST, CAMBRIDGE, MA 02138-3354
(617) 491-0133
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
1866
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0362786
—
MA
Enumeration date
08/29/2006
Last updated
07/08/2007
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