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Organization

FOOT CARE SPECIALISTS, P.C.

Active
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Organization

FOOT CARE SPECIALISTS, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARSHALL LOUIS LUKOFF D.P.M. (PRESIDENT)
(671) 479-7921
Entity
Organization

Contact information

Practice address
500 CONGRESS ST, SUITE 1-D, QUINCY, MA 02169-0908
(617) 479-7921
(671) 774-1458
Mailing address
500 CONGRESS ST, SUITE 1-D, QUINCY, MA 02169-0908
(617) 479-7921
(671) 774-1458

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
213ER0200X
Radiology Podiatrist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0334081
MA
Enumeration date
07/30/2006
Last updated
05/01/2008
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