Bridgewater Goddard Park Medical Associates Podiatry Division
Bridgewater Goddard Park Medical Associates Podiatry Division provides Foot Surgery Podiatrist services in Brockton, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.
- Licensed in
- MA
- In the registry since
- 2007
Practice location Address checks out
110 Liberty StBrockton, MA 02301-5521 Not confirmed with CMS for 14 years — call before visiting
Phone: (508) 894-0400
Fax: (508) 565-0157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Foot Surgery Podiatrist (primary) | Taxonomy 213ES0131X · Licence 1715 (MA) |
|---|
Record details
| NPI number | 1962686329 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kim Hollon — Ceo · (508) 941-7004 |
| Other names | Signature Medical Group |
| NPI enumerated | December 20, 2007 |
| Last updated in NPPES | May 23, 2012 |
| Mailing address | 110 Liberty St, Brockton, MA 02301-5521 |
Other providers in Brockton
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J W Podiatry PC
22 Christy Dr 5, Brockton, MA 02301-1839 · (508) 586-4444