Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 2436 | MA |
N | 222Z00000X | Podiatrist | 2436 | MA |
Y | 213ES0103X | Foot & Ankle Surgery | 2436 | MA |
NPI | 1033405741 |
---|---|
Provider Name | Joudy Ann Dinnall |
First Address | Greenfield, MA 01301-1521 |
Second Address | Greenfield, MA 01301-1521 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2011 |
Last Update Date | 23/02/2016 |