MEDICARE: DR. EDWARD SOLOWAY DPM

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	213EP1101X	Primary Podiatric Medicine Podiatrist	1452	MA

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	33187	OTHER	MA	PILGRIM

General Provider Information

NPI Number	:	1457321630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD SOLOWAY DPM

Provider Business Mailing Address
First Line	:	PO BOX 107
Second Line	:
City	:	BURLINGTON
State	:	MA
Zip	:	01803-0107
Country	:	US
Telephone Number	:	781-729-4455
Fax Number	:	781-229-4831

Provider Business Practice Location Address
First Line	:	220 SWANTON ST
Second Line	:
City	:	WINCHESTER
State	:	MA
Zip	:	01890-1921
Country	:	US
Telephone Number	:	781-729-4455
Fax Number	:	781-229-4831

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	04/20/2012

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Directions to “ DR. EDWARD SOLOWAY DPM” Practice Location

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