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Organization

HEALTHDRIVE PODIATRY GROUP, PC

Active
Parent organization
HEALTHDRIVE PODIATRY GROUP, PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
HEALTHDRIVE PODIATRY GROUP, PC
Authorized official
RIYA ALTOMONTE DPM (PRESIDENT/PRACTICE DIRECTOR)
(857) 255-0486
Entity
Organization

Contact information

Practice address
3883 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2518
(888) 964-6681
(888) 662-0859
Mailing address
888 WORCESTER ST STE 130, WELLESLEY, MA 02482-3744
(617) 964-6681
(339) 686-2561

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
07/30/2019
Last updated
07/30/2019
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