Organization
ADVANCED FOOT SPECIALISTS, INC
Active
Organization
ADVANCED FOOT SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C BOGUE SR. D.P.M. (PRESIDENT)
(401) 934-2600
Entity
Organization
Contact information
Practice address
19 VILLAGE PLAZA WAY, N SCITUATE, RI 02857-1849
(401) 934-2600
Mailing address
19 VILLAGE PLAZA WAY, N SCITUATE, RI 02857-1849
(401) 934-2600
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
000292
RI
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
000292
RI
Other
Enumeration date
01/14/2007
Last updated
12/18/2007
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