Organization
MERRIMACK VALLEY PODIATRY PC
Active
Organization
MERRIMACK VALLEY PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PIZZUTO DPM (PODIATRIST)
(978) 957-9800
Entity
Organization
Contact information
Practice address
1168 LAKEVIEW AVE, DRACUT, MA 01826-4763
(978) 957-9800
(978) 957-3700
Mailing address
1168 LAKEVIEW AVE, DRACUT, MA 01826-4763
(978) 957-9800
(978) 957-3700
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
1904
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22256
FALLON HEALTH CARE
MA
01
—
600604
TUFTS HEALTH PLAN
MA
05
—
9761489
—
MA
01
—
Y77130
BLUE SHIELD OF MA
MA
Enumeration date
01/26/2007
Last updated
03/25/2008
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