Organization
PODIATRIC HEALTHCARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY MARC VAN ESS D.P.M. (PRESIDENT)
(978) 744-1309
Entity
Organization
Contact information
Practice address
9 WARREN CT, SALEM, MA 01970-3163
(978) 744-1309
(978) 744-3783
Mailing address
9 WARREN CT, SALEM, MA 01970-3163
(978) 744-1309
(978) 744-3783
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2119
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
693801
TUFTS
MA
05
—
9721941
—
MA
01
—
DH0558
RAILROAD MEDICARE
MA
01
—
Y77268
BLUE CROSS
MA
01
—
Y78021
MEDICARE ID - TYPE UNSPECIFIED
MA
Enumeration date
11/01/2006
Last updated
05/20/2008
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