Healthcare Provider Details

I. General information

NPI: 1720274566
Provider Name (Legal Business Name): FRANCIS W SWIERUPSKI DPM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2007
Last Update Date: 01/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 BELMONT ST #110
BROCKTON MA
02301-4985
US

IV. Provider business mailing address

500 BELMONT ST #110
BROCKTON MA
02301-4985
US

V. Phone/Fax

Practice location:
  • Phone: 508-586-0540
  • Fax: 508-588-0466
Mailing address:
  • Phone: 508-586-0540
  • Fax: 508-588-0466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPOD1761
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberPOD1761
License Number StateMA

VIII. Authorized Official

Name: DR. FRANCIS WILLIAM SWIERUPSKI
Title or Position: PODIATRIST OWNER
Credential: DPM
Phone: 508-586-0540