Organization
J W PODIATRY PC
Active
Organization
J W PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. W ANTHONY WAKIM DPM (OWNER)
(508) 586-4444
Entity
Organization
Contact information
Practice address
22 CHRISTY DR, 5, BROCKTON, MA 02301-1839
(508) 586-4444
(508) 586-4449
Mailing address
22 CHRISTY DR, 5, BROCKTON, MA 02301-1839
(508) 586-4444
(508) 586-4449
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
MA
Other
Enumeration date
04/17/2007
Last updated
07/10/2012
Update your record
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