| Gentle Foot And Wound Care, Llc | |
|
1410 Boston Providence Tpke Ste 106 Norwood MA 02062-5023 | |
| (617) 230-3858 | |
| Not Available |
| Full Name | Gentle Foot And Wound Care, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1410 Boston Providence Tpke Ste 106, Norwood, Massachusetts |
| Authorized Official Name and Position | Marie Cantave-ayer (CEO) |
| Authorized Official Contact | 6172303858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentle Foot And Wound Care, Llc 1410 Boston Providence Tpke Ste 106 Norwood MA 02062-5023 Ph: (617) 230-3858 | Gentle Foot And Wound Care, Llc 1410 Boston Providence Tpke Ste 106 Norwood MA 02062-5023 Ph: (617) 230-3858 |
| NPI Number | 1417637406 |
|---|---|
| Provider Enumeration Date | 07/24/2023 |
| Last Update Date | 07/24/2023 |
| Medicare PECOS PAC ID | 4981058658 |
|---|---|
| Medicare Enrollment ID | O20230928002802 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417637406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Marie G Cantave-ayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124354691 PECOS PAC ID: 1951442714 Enrollment ID: I20091231000130 |
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