Organization
NORTHEAST FOOT & ANKLE SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER BREGMAN DPM (PRESIDENT)
(978) 640-1010
Entity
Organization
Contact information
Practice address
1565 MAIN ST STE 102, TEWKSBURY, MA 01876-4735
(978) 640-1010
(978) 640-9444
Mailing address
1565 MAIN ST STE 102, TEWKSBURY, MA 01876-4735
(978) 640-1010
(978) 640-9444
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0308
NH
213E00000X
Podiatrist
1432
MA
213E00000X
Podiatrist
Primary
2042
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480030479
RAILROAD MEDICARE
MA
Enumeration date
03/22/2007
Last updated
11/02/2011
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