Provider Demographics
NPI:1033380969
Name:JOSEPH HARTIGAN DPM & ASSOCIATES
Entity Type:Organization
Organization Name:JOSEPH HARTIGAN DPM & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:Q
Authorized Official - Last Name:HUH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-647-6563
Mailing Address - Street 1:317 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-6817
Mailing Address - Country:US
Mailing Address - Phone:617-566-5233
Mailing Address - Fax:
Practice Address - Street 1:317 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-6817
Practice Address - Country:US
Practice Address - Phone:617-566-5233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1606213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0344354OtherMA HEALTH
MAY77106OtherBLUE CROSS
MAY77106OtherBLUE CROSS