Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 2127 | MA |
Y | 222Z00000X | Podiatrist | 2127 | MA |
N | 213E00000X | Podiatrist | 2127 | RI |
N | 222Z00000X | Podiatrist | 2127 | RI |
N | 213E00000X | Podiatrist | DPM00310 | MA |
N | 222Z00000X | Podiatrist | DPM00310 | MA |
N | 213ES0131X | Foot Surgery | 2127 | MA |
NPI | 1275541773 |
---|---|
Provider Name | Dr. Carl Conui |
First Address | Reading, MA 01867-3271 |
Second Address | Reading, MA 01867-3271 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 14/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0311049 | (05) | MA |
29300-8/412344 | BLUE CROSS BLUE SHIELD (01) | RI |
480028283 | MEDICARE RAILROAD (01) | MA |
CC45838 | (05) | RI |
U75713 | (02) | |
Y71056 | BLUE CROSS BLUE SHIELD (01) | MA |