William C Edgerton
Podiatrist
9b Dr Osman Babson Rd
Gloucester
, Massachusetts 01930-1812
William C Edgerton
Podiatrist
9b Dr Osman Babson Rd
Gloucester
, Massachusetts 01930-1812
(978) 281-2550
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- William C Edgerton
- 9b Dr Osman Babson Rd
- Gloucester, MA
- Zip : 01930-1812
- Phone : (978) 281-2550
Second Address
- William C Edgerton
- 9b Dr Osman Babson Rd
- Gloucester, MA
- Zip : 01930-1812
- Phone : (978) 281-8171
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 1430 | MA |
| Y | 222Z00000X | Podiatrist | 1430 | MA |
National Provider Identifier
| NPI | 1053359331 |
|---|---|
| Provider Name | William C Edgerton |
| First Address | Gloucester, MA 01930-1812 |
| Second Address | Gloucester, MA 01930-1812 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2006 |
| Last Update Date | 09/01/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0014003 | NEIGHBORHOOD HEALTH PLAN (01) | MA |
| 0325333 | (05) | MA |
| 0476472 | AETNA/US HEALTHCARE (01) | MA |
| 2700395 | EVERCARE (01) | MA |
| 480909147 | RAILROAD MEDICARE (01) | |
| 6081562002 | CIGNA (01) | MA |
| 714064 | TUFTS HEALTH PLAN (01) | MA |
| P6691 | EMPIRE BC/BS (01) | NY |
| T58663 | (02) | |
| T58663 | HARVARD PILGRIM HEALTHCAR (01) | MA |
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.