Organization
METRO WEST PODIATRY SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN E WASCAVAGE DPM (OWNER)
(508) 879-0811
Entity
Organization
Contact information
Practice address
42 LINCOLN STREET, FRAMINGHAM, MA 01702
(508) 879-0811
(508) 879-8257
Mailing address
42 LINCOLN STREET, FRAMINGHAM, MA 01702
(508) 879-0811
(508) 879-8257
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
MD
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0358274
—
MA
Enumeration date
12/15/2006
Last updated
04/05/2024
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