Divaio, Carol A

Divaio, Carol A is an individual health care provider with primary practice located at 55 Fruit St Yaw 3056 Podiatry Group, Boston MA 02114-2696. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Divaio, Carol A can be contacted via phone (617) 726-3487.

Contact Information

Primary practice address
55 Fruit St Yaw 3056 Podiatry Group Boston MA 02114-2696
Fax: (617) 726-2739
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1888 Massachusetts

Profile Details

NPI number 1487644936
LBN Legal business name Divaio, Carol A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Aug 1st, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487644936 NPPES
Massachusetts Other Y70893 BCBS MA
Massachusetts MEDICAID 0362735 BCBS MA
Massachusetts Other 718636 BCBS MA

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