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Organization

PAUL A. COURNOYER D.P.M., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL A COURNOYER M.D. (PRESIDENT)
(508) 363-6868
Entity
Organization

Contact information

Practice address
123 SUMMER ST, SUITE 550, WORCESTER, MA 01608-1216
(508) 363-6868
(508) 363-6866
Mailing address
5 HEMLOCK CIR, SHREWSBURY, MA 01545-1572

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
1864
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
691584
TUFTS HEALTH PLAN
MA
01
80767
FALLON HEALTH PLAN
MA
05
9719610
MA
01
AA7889
HARVARD PILGRIM HEALTH
MA
01
Y77331
BLUE SHEILD OF MA
MA
Enumeration date
07/29/2006
Last updated
01/21/2011
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