Individual
W ANTHONY WAKIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
31 ROCHE BROTHERS WAY, TWP, SUITE 140, N EASTON, MA 02767
(508) 894-0400
(508) 894-0332
Mailing address
1215 BROADWAY, RAYNHAM, MA 02767
(508) 894-0400
(508) 559-7035
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1715
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361291
—
MA
Enumeration date
11/23/2005
Last updated
09/25/2017
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