Provider Demographics
NPI:1083699052
Name:IOLI, JAMES P (DPM)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:P
Last Name:IOLI
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:75 FRANCIS ST
Mailing Address - Street 2:DEPT OF ORTHOPEODIC SURGERY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-732-5391
Mailing Address - Fax:617-264-6305
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:DEPT OF ORTHOPEODIC SURGERY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-732-5391
Practice Address - Fax:617-264-6305
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2007-12-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA1513213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAT58687Medicare UPIN