Provider Demographics
NPI:1871371765
Name:GREATER BOSTON FOOT CARE, PLLC
Entity type:Organization
Organization Name:GREATER BOSTON FOOT CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AJAYPAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:510-365-9316
Mailing Address - Street 1:21A HIGH ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:MA
Mailing Address - Zip Code:02186-3423
Mailing Address - Country:US
Mailing Address - Phone:510-365-9316
Mailing Address - Fax:
Practice Address - Street 1:45 RESNIK RD STE 107
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-4843
Practice Address - Country:US
Practice Address - Phone:508-747-3567
Practice Address - Fax:508-830-1224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-20
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies