NPI 1114693900 · live from the CMS NPI Registry
Candria Foot & Ankle Specialists PLLC
Podiatrist in Somerville, MA. National Provider Identifier 1114693900, active.
NPI record
| NPI | 1114693900 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 53 Main St, Somerville, MA 02145 |
| Practice phone | 617-629-2806 |
| Mailing address | 25 Buttrick Rd Ste D1, Londonderry, NH 03053 |
| Enumerated | August 20, 2021 |
| Last updated | October 20, 2021 |
| Authorized official | Pasquale Cancelliere, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Podiatrist primary | 213E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.