MEDICARE: KRISTYN PISTONE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	694010	OTHER	MA	TUFTS HEALTH PLAN
3	Y71081	OTHER	MA	BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1285688341
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KRISTYN PISTONE

Provider Business Mailing Address
First Line	:	62 BROWN STREET
Second Line	:	SUITE 201
City	:	HAVERHILL
State	:	MA
Zip	:	01830-6700
Country	:	US
Telephone Number	:	978-556-9750
Fax Number	:	978-521-8381

Provider Business Practice Location Address
First Line	:	62 BROWN STREET
Second Line	:	SUITE 201
City	:	HAVERHILL
State	:	MA
Zip	:	01830-6700
Country	:	US
Telephone Number	:	978-556-9750
Fax Number	:	978-521-8381

Authorized Official
Title or Position	:	OWNER
Name	:	KRISTYN PISTONE
Credential	:	D.P.M.
Telephone Number	:	978-556-9750

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	02/21/2013

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Directions to “KRISTYN PISTONE ” Practice Location

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