Healthcare Provider Details

I. General information

NPI: 1063633287
Provider Name (Legal Business Name): RONALD G. AUGER CERTIFIED PEDORTHIST
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 04/19/2023
Certification Date: 04/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

336 THOMPSON RD STE 4
WEBSTER MA
01570-1586
US

IV. Provider business mailing address

336 THOMPSON RD STE 4
WEBSTER MA
01570-1586
US

V. Phone/Fax

Practice location:
  • Phone: 508-461-7511
  • Fax: 508-461-7515
Mailing address:
  • Phone: 508-461-7511
  • Fax: 860-546-1095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number1510
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code224L00000X
TaxonomyPedorthist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: