Heffernan, Paul M.

Heffernan, Paul M. is an individual health care provider with primary practice located at 1493 Cambridge St , Cambridge MA 02139-1047. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Heffernan, Paul M. can be contacted via phone (617) 665-3570.

Contact Information

Primary practice address
1493 Cambridge St Cambridge MA 02139-1047
Fax: (617) 665-3598
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 1866 Massachusetts

Profile Details

NPI number 1235247115
LBN Legal business name Heffernan, Paul M.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 8th, 2007 - about 17 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 1235247115 NPPES
Massachusetts MEDICAID 0362786

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