Organization
NORTHERN PODIATRY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMIRO J MANZANO D.P.M. (PHYSICIAN)
(671) 983-1900
Entity
Organization
Contact information
Practice address
1153 CENTRE ST, SUITE 5980, BOSTON, MA 02130-3446
(617) 983-1900
(617) 983-8122
Mailing address
1153 CENTER STREET, SUITE 5980, BOSTON, MA 02130-3446
(617) 983-1900
(617) 983-8122
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2428484
AETNA
—
01
—
611767
TUFTS
—
01
—
Y77179
BLUE SHIELD
—
Enumeration date
06/26/2006
Last updated
02/13/2012
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