Organization
ASSOCIATED FOOT CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH A GRECO D.P.M. (PRESIDENT/PODIATRIST)
(207) 783-4714
Entity
Organization
Contact information
Practice address
95 EAST AVE, LEWISTON, ME 04240
(207) 783-4714
Mailing address
95 EAST AVE, LEWISTON, ME 04240-5623
(207) 783-4714
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
POD193
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002527
ANTHEM BC/BS
ME
05
—
118360000
—
ME
01
—
1801992375
INDIVIDUAL NPI NUMBER
ME
01
—
480025851
RAILROAD MEDICARE
ME
Enumeration date
01/22/2008
Last updated
06/12/2018
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