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Dr. Ewald Ray Mendeszoon JR., DPM
Foot Surgery Podiatrist in Boston, Massachusetts
NPI 1528031952

Ewald Ray Mendeszoon JR. is a Foot Surgery Podiatrist based in Boston, MA and is specialized in Foot Surgery. Ewald Ray Mendeszoon JR. practices in Boston, MA and has the professional credentials of DPM. The NPI Number for Ewald Ray Mendeszoon JR. is 1528031952 and holds a License No. 2092 (Massachusetts).

The current practice location address for Ewald Ray Mendeszoon JR. is 732 Harrison Avenue, Boston, MA and can be reached out via phone at 617-414-6840 and via fax at 617-414-6710.

Location: 732 Harrison Avenue, Boston, MA, 02118-2371
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528031952
Provider Name
Ewald Ray Mendeszoon JR.
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
732 Harrison Avenue, Boston, MA, 02118-2371
Phone Number
617-414-6840
Fax Number
617-414-6710
Provider Enumeration Date
02/08/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
110013015A 05 MA
institution
Provider Business Practice Location Address Details
Address
732 Harrison Avenue
City
Boston
State
Massachusetts
Zip
02118
Phone Number
617-414-6840
Fax Number
617-414-6710
person
Provider Business Mailing Address Details
Address
732 Harrison Avenue
City
Boston
State
Massachusetts
Zip
02118
Phone Number
617-414-6840
Fax Number
617-414-6710
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
2092 (Massachusetts)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
2092 (Massachusetts)
Definition
Definition to come...
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