Provider Demographics
NPI:1043285646
Name:SZPIRO, JORDANA LEA (DPM)
Entity Type:Individual
Prefix:DR
First Name:JORDANA
Middle Name:LEA
Last Name:SZPIRO
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:264 BEACON ST
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-1236
Mailing Address - Country:US
Mailing Address - Phone:617-262-2266
Mailing Address - Fax:617-262-2261
Practice Address - Street 1:264 BEACON ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-1236
Practice Address - Country:US
Practice Address - Phone:617-262-2266
Practice Address - Fax:617-262-2261
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-17
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2155213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAU81878Medicare UPIN
MASZY75088Medicare ID - Type Unspecified