institution
Bridgewater Goddard Park Medical Associates Podiatry Division
Foot Surgery Podiatrist in Brockton, Massachusetts
NPI 1962686329

Bridgewater Goddard Park Medical Associates Podiatry Division is a Foot Surgery Podiatrist based in Brockton, MA and is specialized in Foot Surgery. Bridgewater Goddard Park Medical Associates Podiatry Division practices in Brockton, MA. The NPI Number for Bridgewater Goddard Park Medical Associates Podiatry Division is 1962686329 and holds a License No. 1715 (Massachusetts).

The current practice location address for Bridgewater Goddard Park Medical Associates Podiatry Division is 110 Liberty St, Brockton, MA and can be reached out via phone at 508-894-0400 and via fax at 508-565-0157.

Location: 110 Liberty St, Brockton, MA, 02301-5521
institution
Provider Profile Details
NPI Number
1962686329
Provider Name
Bridgewater Goddard Park Medical Associates Podiatry Division
Credential
Provider Entity Type
Organization
Address
110 Liberty St, Brockton, MA, 02301-5521
Phone Number
508-894-0400
Fax Number
508-565-0157
Provider Enumeration Date
12/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110022141E 05 MA
institution
Provider Business Practice Location Address Details
Address
110 Liberty St
City
State
Zip
02301-5521
Phone Number
508-894-0400
Fax Number
508-565-0157
person
Provider Business Mailing Address Details
Address
110 Liberty St
City
State
Zip
02301-5521
Phone Number
508-894-0400
Fax Number
508-565-0157
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
1715 (Massachusetts)
Definition
Definition to come...
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