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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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