Organization
PLYMOUTH PODIATRY BIDCO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SKONIECZNY DPM (PARTNER)
(508) 747-1973
Entity
Organization
Contact information
Practice address
116 COURT ST STE 3, PLYMOUTH, MA 02360-8710
(508) 747-1973
(508) 747-5392
Mailing address
116 COURT ST STE 3, PLYMOUTH, MA 02360-8710
(508) 747-1973
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
02/03/2025
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