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Organization

SPORTS PODIATRY RESOURCE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL A ROBINSON D.P.M. (PRESIDENT)
(617) 277-2662
Entity
Organization

Contact information

Practice address
67 UNION ST, SUITE 310, NATICK, MA 01760-7700
(508) 653-8888
(617) 734-9733
Mailing address
1443 BEACON ST, BROOKLINE, MA 02446-4707
(617) 277-2662
(617) 734-9733

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PD1511
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0338214
MA
Enumeration date
04/29/2016
Last updated
04/29/2016
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