Organization
FEDRIGO PODIATRY A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY J FEDRIGO DPM (DPM)
(415) 461-6555
Entity
Organization
Contact information
Practice address
1125 SIR FRANCIS DRAKE BLVD STE 1, KENTFIELD, CA 94904-1418
(415) 461-6555
(415) 461-6556
Mailing address
1125 SIR FRANCIS DRAKE BLVD STE 1, KENTFIELD, CA 94904-1418
(415) 461-6555
(415) 461-6556
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
E4298
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000E42980
MEDICARE
CA
Enumeration date
12/13/2007
Last updated
12/31/2024
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