Individual
DR. DOROTHY H KURTZ PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
100 BROOKSBY VILLAGE DR, PEABODY, MA 01960-1438
(978) 536-7850
(978) 536-7851
Mailing address
5730 EXECUTIVE DR STE 230, CATONSVILLE, MD 21228-1762
(978) 536-7850
(978) 536-7851
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2374
MA
213E00000X
Podiatrist
POD1030
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03Y002802ME02
ANTHEM NH
NH
01
—
060678
ANTHEM
ME
01
—
1841270642
GROUP NPI#
ME
01
—
1851499768
INDIVIDUAL NPI #
ME
01
—
200148199
TAX ID #
ME
01
—
22010099
MAINECARE IND#
ME
Enumeration date
09/21/2006
Last updated
04/19/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us