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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