Individual
DR. CAROLINE BRECKWOLDT FOOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1021 MAIN STREET, WINCHESTER, MA 01890
(781) 729-1021
(781) 729-7504
Mailing address
PO BOX 760, WINCHESTER, MA 01890-4260
(781) 756-7273
(781) 721-0725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
72100
MA
207RC0000X
Cardiovascular Disease Physician
Primary
72100
MA
207RC0001X
Clinical Cardiac Electrophysiology Physician
72100
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3049680
MASS HEALTH
MA
Enumeration date
03/26/2007
Last updated
08/29/2014
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