Organization
GREATER BOSTON PODIATRY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS WILLIAM VORDERER DPM (PRESIDENT)
(781) 659-3443
Entity
Organization
Contact information
Practice address
427B WASHINGTON ST, NORWELL, MA 02061-2007
(781) 659-3443
(781) 659-7769
Mailing address
427B WASHINGTON ST, PO BOX 603, NORWELL, MA 02061-2007
(781) 659-3443
(781) 659-7769
Taxonomy
Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
Primary
1727
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0357782
—
MA
05
—
360996
—
MA
05
—
9713565
—
MA
01
—
Y70771
BLUE CROSS BLUE SHEILD
MA
01
—
Y77303
BLUE CROSS GROUP NUMBER
MA
Enumeration date
02/23/2007
Last updated
04/29/2008
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