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NPI Code Detail

MEDICARE: JOHN L SHERMAN DPM

MEDICARE: JOHN L SHERMAN DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist1652MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467458737
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN L SHERMAN DPM
Provider Business Mailing Address
First Line : 147 MILK ST
Second Line :
City : BOSTON
State : MA
Zip : 02109-4806
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 26 CITY HALL MALL
Second Line :
City : MEDFORD
State : MA
Zip : 02155-4754
Country : US
Telephone Number : 781-306-5255
Fax Number : 781-306-5487
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 10/19/2011

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