Medical Center West Podiatry Associates, Inc.
NPI #1821185455 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1821185455
- Entity Type
- Organization
- Organization Name
- Medical Center West Podiatry Associates, Inc.
- Primary Specialty
- Podiatrist - Primary Podiatric Medicine
- Enumeration Date
- Oct 6, 2006
- Last Updated
- Mar 25, 2008
Practice Location
- Address
- 488 PLEASANT ST
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01609-1857
- Phone
- (508) 755-9573
Authorized Official
- Name
- DR. JONATHAN F. KETCHUM, D.P.M.
- Title
- PRESIDENT
- Phone
- (508) 755-9573
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Primary Podiatric Medicine — Primary Podiatric Medicine |
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