Organization
BURLINGTON PODIATRY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CARROLL DPM (PRESIDENT)
(781) 272-1040
Entity
Organization
Contact information
Practice address
281 CAMBRIDGE ST, BURLINGTON, MA 01803-2543
(781) 272-1040
Mailing address
281 CAMBRIDGE ST, BURLINGTON, MA 01803-2543
(781) 272-1040
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1685
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629086590
INDIVIDUAL NPI #
MA
01
—
Y70742
MEDICARE PTAN
MA
Enumeration date
08/27/2014
Last updated
08/28/2014
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