Provider Demographics
NPI:1689658015
Name:FRAMINGHAM PODIATRY INC
Entity type:Organization
Organization Name:FRAMINGHAM PODIATRY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:JR
Authorized Official - Credentials:DPM
Authorized Official - Phone:508-872-9288
Mailing Address - Street 1:61 LINCOLN ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-8264
Mailing Address - Country:US
Mailing Address - Phone:508-872-9288
Mailing Address - Fax:508-620-7368
Practice Address - Street 1:61 LINCOLN ST
Practice Address - Street 2:SUITE 210
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-8264
Practice Address - Country:US
Practice Address - Phone:508-872-9288
Practice Address - Fax:508-620-7368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-30
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY77330OtherBLUE CROSS BLUE SHIELD
MA5773880001Medicare NSC