Paul M. Heffernan
Primary Podiatric Medicine
1493 Cambridge St
Cambridge
, Massachusetts 02139-1047
Paul M. Heffernan
Primary Podiatric Medicine
1493 Cambridge St
Cambridge
, Massachusetts 02139-1047
(617) 491-0133
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Paul M. Heffernan
- 65 Fayerweather St
- Cambridge, MA
- Zip : 02138-3354
- Phone : (617) 491-0133
Second Address
- Paul M. Heffernan
- 1493 Cambridge St
- Cambridge, MA
- Zip : 02139-1047
- Fax : (617) 665-3598
- Phone : (617) 665-3570
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 1866 | MA |
National Provider Identifier
| NPI | 1235247115 |
|---|---|
| Provider Name | Paul M. Heffernan |
| First Address | Cambridge, MA 02138-3354 |
| Second Address | Cambridge, MA 02139-1047 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0362786 | (05) | MA |
| T58813 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.