Organization
COASTAL FOOT & ANKLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN SABOURIN DPM (OWNER)
(508) 258-1717
Entity
Organization
Contact information
Practice address
300 HANOVER ST STE 2C, FALL RIVER, MA 02720-5451
(508) 258-1717
(774) 365-6272
Mailing address
300 HANOVER ST STE 2C, FALL RIVER, MA 02720-5451
(508) 258-1717
(774) 365-6272
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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