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Organization

WAKEFIELD PLACE PODIATRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARYANNE SACHETTA D.P.M. (PRESIDENT)
(781) 224-3667
Entity
Organization

Contact information

Practice address
380 LOWELL ST, STE. 101B, WAKEFIELD, MA 01880-1984
(781) 224-3667
Mailing address
PO BOX 2190, WEST PEABODY, MA 01960-7190
(781) 231-7026

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2185
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4751670001
MEDICARE NSC
MA
05
9721070
MA
Enumeration date
05/20/2006
Last updated
03/26/2008
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