Healthcare Provider Details

I. General information

NPI: 1487828935
Provider Name (Legal Business Name): DR. DOROTHY A MCCARTHY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2008
Last Update Date: 12/10/2009
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

Practice location:
  • Phone: 617-361-1114
  • Fax: 617-361-3297
Mailing address:
  • Phone: 617-361-1114
  • Fax: 617-361-3297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number1530
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1530
License Number StateMA

VIII. Authorized Official

Name: DR. DOROTHY A MCCARTHY-CURRAN
Title or Position: PRESIDENT
Credential: DPM
Phone: 617-361-1114