Organization
MINIMALLY INVASIVE PODIATRY LLC
Active
Organization
MINIMALLY INVASIVE PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUINN TAYLOR CHARBONNEAU DPM (PHYSICIAN/OWNER)
(267) 230-3629
Entity
Organization
Contact information
Practice address
322 PEARL STREET, STE 1, CAMBRIDGE, MA 02139-4762
(267) 230-3629
Mailing address
322 PEARL STREET, SUITE 1, CAMBRIDGE, MA 02139-4762
(267) 230-3629
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
04/06/2022
Update your record
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