Provider Demographics
NPI:1033513122
Name:UNQUITY PODIATRY, LLC
Entity Type:Organization
Organization Name:UNQUITY PODIATRY, LLC
Other - Org Name:SUSAN WALSH DPM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PODIATRIST/OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WALSH
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:617-322-5252
Mailing Address - Street 1:P.O. BOX 103
Mailing Address - Street 2:
Mailing Address - City:READVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02137-0103
Mailing Address - Country:US
Mailing Address - Phone:617-322-5252
Mailing Address - Fax:617-322-5252
Practice Address - Street 1:SOUTH SHORE HEALTH
Practice Address - Street 2:55 FOGG ROAD
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-2432
Practice Address - Country:US
Practice Address - Phone:617-322-5252
Practice Address - Fax:617-322-5252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-17
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty