Provider Demographics
NPI:1902421332
Name:FOOT HEALTH CENTER OF MERRIMACK VALLEY-STEW PC
Entity Type:Organization
Organization Name:FOOT HEALTH CENTER OF MERRIMACK VALLEY-STEW PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:BURTOFT
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:978-686-7623
Mailing Address - Street 1:451 ANDOVER ST STE 209
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-5070
Mailing Address - Country:US
Mailing Address - Phone:978-686-7623
Mailing Address - Fax:978-683-9911
Practice Address - Street 1:451 ANDOVER ST STE 209
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-5070
Practice Address - Country:US
Practice Address - Phone:978-686-7623
Practice Address - Fax:978-683-9911
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FOOT HEALTH CENTER OF MERRIMACK VALLEY PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-11
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty