NPI 1740216035 · live from the CMS NPI Registry
Shoreline Podiatry, LLC
Podiatrist, Foot & Ankle Surgery in Wakefield, RI. National Provider Identifier 1740216035, active.
NPI record
| NPI | 1740216035 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 24 Salt Pond Rd, Unit E-1, Wakefield, RI 02879 |
| Practice phone | 401-783-2424 |
| Enumerated | June 25, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | James Mccormick, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.