Healthcare Provider Details

I. General information

NPI: 1215182076
Provider Name (Legal Business Name): AFFILIATES IN PODIATRY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2008
Last Update Date: 10/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 AIKEN AVENUE FRANKLIN REGIONAL HOSPITAL SPECIALTY CLINIC
FRANKLIN NH
03235
US

IV. Provider business mailing address

248 PLEASANT ST. SUITE 203
CONCORD NH
03301
US

V. Phone/Fax

Practice location:
  • Phone: 603-934-2060
  • Fax:
Mailing address:
  • Phone: 603-225-5281
  • Fax: 603-228-7095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: WILLIAM N MCCANN
Title or Position: PRESIDENT
Credential: DPM
Phone: 603-225-5281