Organization
BEVERLY PODIATRY, INC
Active
Organization
BEVERLY PODIATRY, INC
Active
Other names
Beverly Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY TOBIN DPM (PODIATRIST/OWNER)
(978) 922-0288
Entity
Organization
Contact information
Practice address
900 CUMMINGS CTR, SUITE 309V, BEVERLY, MA 01915-6198
(978) 922-0288
(978) 927-6265
Mailing address
900 CUMMINGS CTR, SUITE 309V, BEVERLY, MA 01915-6198
(978) 922-0288
(978) 927-6265
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1930
MA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1930
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0357928
—
MA
Enumeration date
01/29/2008
Last updated
05/11/2023
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