MEDICARE: DR. DOROTHY A MCCARTHY PC

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	335E00000X	Prosthetic/Orthotic Supplier	1530	MA
2	332B00000X	Durable Medical Equipment & Medical Supplies	1530	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3856240001	OTHER	MA	DME SUPPLIER

General Provider Information

NPI Number	:	1487828935
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. DOROTHY A MCCARTHY PC

Provider Business Mailing Address
First Line	:	1150 RIVER ST
Second Line	:
City	:	HYDE PARK
State	:	MA
Zip	:	02136-2917
Country	:	US
Telephone Number	:	617-361-1114
Fax Number	:	617-361-3297

Provider Business Practice Location Address
First Line	:	1150 RIVER ST
Second Line	:
City	:	HYDE PARK
State	:	MA
Zip	:	02136-2917
Country	:	US
Telephone Number	:	617-361-1114
Fax Number	:	617-361-3297

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DOROTHY A MCCARTHY-CURRAN
Credential	:	DPM
Telephone Number	:	617-361-1114

Provider Enumeration Date	:	04/16/2008
Last Update Date	:	12/10/2009

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