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Organization

METRO WEST PODIATRY SERVICES PC

Active
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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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