Organization
SCITUATE PODIATRY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY W COUNT DPM (PROVIDER/OWNER)
(781) 545-9285
Entity
Organization
Contact information
Practice address
2100 DORCHESTER AVE, DORCHESTER CENTER, MA 02124-5615
(617) 296-0742
(617) 296-4357
Mailing address
PO BOX 352, SCITUATE, MA 02066-0352
(781) 545-9285
(781) 545-9553
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
001515
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
606371
TUFTS
MA
05
—
9781331
—
MA
01
—
CH1562
RAILROAD MEDICARE
MA
01
—
Y77175
BLUE SHIELD
MA
Enumeration date
09/11/2006
Last updated
04/16/2008
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