Everett Foot Care Pc | |
459 Broadway, Everett, MA 02149-3614 | |
(617) 387-4200 | |
(617) 387-8852 |
Full Name | Everett Foot Care Pc |
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Type | Facility |
Speciality | Podiatrist |
Location | 459 Broadway, Everett, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437128345 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 1857 (Massachusetts) | Primary |
Provider Name | Sean F Connolly |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1679500417 PECOS PAC ID: 7911915871 Enrollment ID: I20060404000289 |
Provider Name | Robert Medaglio |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1922077908 PECOS PAC ID: 4789876855 Enrollment ID: I20110223000493 |
Mailing Address | Practice Location Address |
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Everett Foot Care Pc 459 Broadway, Everett, MA 02149-3614 Ph: (617) 387-4200 | Everett Foot Care Pc 459 Broadway, Everett, MA 02149-3614 Ph: (617) 387-4200 |
Dr. Mitchell Mark Gertz, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 906 Broadway, Everett, MA 02149 Phone: 617-387-6118 | |
Dr. Sean Fitzpatrick Connolly Sr., DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 459 Broadway, Everett, MA 02149 Phone: 617-387-4200 Fax: 617-387-8852 | |
Dr. Robert Anthony Medaglio, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 459 Broadway, Everett, MA 02149 Phone: 617-387-4200 Fax: 617-387-8852 | |
Mitchell M Gertz Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 906 Broadway, Everett, MA 02149 Phone: 617-387-6118 Fax: 617-387-6118 |