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Organization

GREATER BOSTON PODIATRY ASSOCIATES, PC

Active
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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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