MEDICARE: ANKLE & FOOT ASSOCIATES

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	1786	MA

General Provider Information

NPI Number	:	1902080880
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANKLE & FOOT ASSOCIATES

Provider Business Mailing Address
First Line	:	2 CHAMBERLAINE AVE
Second Line	:	UNIT 2
City	:	WINTHROP
State	:	MA
Zip	:	02152-1011
Country	:	US
Telephone Number	:	617-846-2609
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 CHAMBERLAIN AVE UNIT 2
Second Line	:
City	:	WINTHROP
State	:	MA
Zip	:	02152-1021
Country	:	US
Telephone Number	:	617-846-2609
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MGR
Name	:	MR. ANDRE GARLAND
Credential	:
Telephone Number	:	617-846-2609

Provider Enumeration Date	:	12/27/2007
Last Update Date	:	05/06/2013

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Directions to “ANKLE & FOOT ASSOCIATES ” Practice Location

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