MEDICARE: JEMS FOOT CARE PLLC

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	213ES0103X	Foot & Ankle Surgery Podiatrist

General Provider Information

NPI Number	:	1508529538
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEMS FOOT CARE PLLC

Provider Business Mailing Address
First Line	:	1244 BOYLSTON ST FL 101
Second Line	:
City	:	CHESTNUT HILL
State	:	MA
Zip	:	02467-2115
Country	:	US
Telephone Number	:	617-232-1752
Fax Number	:	617-566-3919

Provider Business Practice Location Address
First Line	:	1244 BOYLSTON ST FL 101
Second Line	:
City	:	CHESTNUT HILL
State	:	MA
Zip	:	02467-2115
Country	:	US
Telephone Number	:	617-232-1752
Fax Number	:	617-566-3919

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	MR. JAMES E. ROY
Credential	:
Telephone Number	:	857-576-6054

Provider Enumeration Date	:	10/17/2021
Last Update Date	:	10/17/2021

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