Healthcare Provider Details

I. General information

NPI: 1023733847
Provider Name (Legal Business Name): HEEL TO TOE PODIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2022
Last Update Date: 10/04/2022
Certification Date: 10/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 TYLER ST STE AND304
NASHUA NH
03060-2951
US

IV. Provider business mailing address

19 TYLER ST # 302&304
NASHUA NH
03060-2951
US

V. Phone/Fax

Practice location:
  • Phone: 617-435-0422
  • Fax:
Mailing address:
  • Phone: 617-435-0422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. GEORGE A. ABBOUD
Title or Position: OWNER
Credential: DPM
Phone: 617-435-0422