Healthcare Provider Details
I. General information
NPI: 1972592988
Provider Name (Legal Business Name): DOROTHY A MCCARTHY-CURRAN DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/21/2005
Last Update Date: 03/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1150 RIVER ST
HYDE PARK MA
02136-2917
US
IV. Provider business mailing address
1150 RIVER ST
HYDE PARK MA
02136-2917
US
V. Phone/Fax
- Phone: 617-361-1114
- Fax: 617-361-3297
- Phone: 617-361-1114
- Fax: 617-361-3297
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0131X |
| Taxonomy | Foot Surgery Podiatrist |
| License Number | 1530 |
| License Number State | MA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: