Mostone, Edward J
Mostone, Edward J is an individual health care provider with primary practice located at 425 Salem Street , Medford MA 02155. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Mostone, Edward J can be contacted via phone (781) 396-8737.Contact Information
Primary practice address
425 Salem Street
Medford MA 02155
Phone: (781) 396-8737
Fax: (617) 547-5367
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 735510 | Massachusetts |
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 1793 | Massachusetts |
Profile Details
NPI number | 1043208242 |
---|---|
LBN Legal business name | Mostone, Edward J |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 11th, 2005 |
Last updated | Apr 24th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043208242 | NPPES |
Massachusetts | MEDICAID | 0362263 |
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