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Organization

BOSTON COMMON PODIATRY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JORDANA SZPIRO D.P.M. (PRESIDENT)
(617) 973-6799
Entity
Organization

Contact information

Practice address
264 BEACON ST, SUTIE 201, BOSTON, MA 02116-1236
(617) 262-2266
Mailing address
264 BEACON ST, SUITE 201, BOSTON, MA 02116-1236
(617) 262-2266

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
602604
TUFTS HEALTH PLAN
MA
01
Y77335
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
05/27/2006
Last updated
09/03/2013
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