Organization
STURBRIDGE FOOT CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CHARLES JEDRZYNSKI (PRESIDENT)
(508) 347-4900
Entity
Organization
Contact information
Practice address
118 MAIN ST, SUITE 4, STURBRIDGE, MA 01566-1533
(508) 347-4900
(508) 347-9339
Mailing address
118 MAIN ST, SUITE 4, STURBRIDGE, MA 01566-1533
(508) 347-4900
(508) 347-9339
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2129
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2574157
AETNA US HEALTHCARE
—
01
—
27-02436
UNITED HEALTH PLANS
—
01
—
333414
HARVARD PILGRIM
—
01
—
55384
FALLON
—
01
—
687-470
TUFTS
—
05
—
9706194
—
MA
01
—
983819
NETWORK HEALTH
—
01
—
W20203301
CIGNA
—
01
—
Y77291
BLUE CROSS BLUE SHIELD
—
Enumeration date
04/10/2007
Last updated
04/20/2008
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