Individual
DR. STEVEN LOUIS SENNEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
465 MAIN ST, MELROSE, MA 02176
(781) 665-4625
(781) 665-0090
Mailing address
20 LAFAYETTE ST, WAKEFIELD, MA 01880-2305
(978) 578-0610
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1776
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361526
—
MA
01
—
9774149
MEDICAID FAMILY FOOT CARE
MA
01
—
Y77138
MEDICARE FAMILY FOOT CARE
—
Enumeration date
12/01/2006
Last updated
04/29/2021
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