Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 1690 | MA |
Y | 222Z00000X | Podiatrist | 1690 | MA |
NPI | 1013956309 |
---|---|
Provider Name | John M Giurini |
First Address | Boston, MA 02215-5324 |
Second Address | Boston, MA 02215-5324 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 01/12/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0362247 | (05) | MA |
1690 | PODIATRY LICENSE (01) | MA |
T58788 | (02) | MA |