MEDICARE: FOOT & ANKLE ASSOCIATES

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	1786	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0009082	OTHER	MA	NEIGHBORHOOD HEALTH PLAN
2	33595	OTHER	MA	HARVARD PILGRIM HEALTH CA
3	603200	OTHER	MA	TUFTS HEALTH PLAN
4	04776	OTHER	MA	AETNA
5	Y77163	OTHER	MA	BLUE SHEILD OF MA

General Provider Information

NPI Number	:	1790841385
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOOT & ANKLE ASSOCIATES

Provider Business Mailing Address
First Line	:	2 CHAMBERLAIN AVE UNIT 2
Second Line	:
City	:	WINTHROP
State	:	MA
Zip	:	02152-1021
Country	:	US
Telephone Number	:	617-846-2609
Fax Number	:	617-846-3513

Provider Business Practice Location Address
First Line	:	2 CHAMBERLAIN AVE UNIT 2
Second Line	:
City	:	WINTHROP
State	:	MA
Zip	:	02152-1021
Country	:	US
Telephone Number	:	617-846-2609
Fax Number	:	617-846-3513

Authorized Official
Title or Position	:	CEO
Name	:	MR. DOMINICK GARIBALDI
Credential	:	DPM
Telephone Number	:	617-846-2609

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	09/30/2010

Similar Medicare Providers

1457341257 — DR. DOMINICK GARIBALDI DPM
Practice Location Address:

2 CHAMBERLAIN AVE UNIT 2 , SUITE 2
WINTHROP, MA
02152-1021

Practice Phone: 617-846-2609
Practice Fax: 617-846-3513

1902080880 — ANKLE & FOOT ASSOCIATES
Practice Location Address:

2 CHAMBERLAIN AVE UNIT 2
WINTHROP, MA
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Practice Phone: 617-846-2609
Practice Fax:

1033744396 — BIANCA GENUALDO LMHC, M.ED.
Practice Location Address:

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WINTHROP, MA
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Practice Fax:

1386715258 — DR. HAREN PRAGJI DESAI M.D.
Practice Location Address:

249 WASHINGTON AVE
WINTHROP, MA
02152-1347

Practice Phone: 617-846-7733
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1659365856 — DR. KISHANLAL CHAKRABARTI MD
Practice Location Address:

120 BANKS ST
WINTHROP, MA
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1669467973 — WINTHROP HEALTHCARE INVESTORS D B A
Practice Location Address:

142 PLEASANT ST
WINTHROP, MA
02152-2042

Practice Phone: 617-846-7750
Practice Fax: 617-846-2302

Directions to “FOOT & ANKLE ASSOCIATES ” Practice Location

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