Individual
ANTHONY J TICKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
439 MAIN ST, HUDSON, MA 01749-1855
(978) 562-2155
(978) 562-2640
Mailing address
439 MAIN ST, HUDSON, MA 01749-1855
(978) 562-2155
(978) 562-2640
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
2317
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0714763
—
MA
Enumeration date
10/06/2006
Last updated
11/11/2010
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