Individual
THEODORE H ATKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
462 TRAPELO RD, BELMONT, MA 02478-1421
(617) 484-0123
(617) 484-3337
Mailing address
462 TRAPELO RD, BELMONT, MA 02478-1421
(617) 484-0123
(617) 484-3337
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1364
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0300624
—
MA
01
—
1225970001
MEDICARE NSC
MA
Enumeration date
06/28/2005
Last updated
04/28/2008
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