Provider Demographics
NPI:1326043332
Name:COUNT, GARY W (DPM)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:W
Last Name:COUNT
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:PO BOX 352
Mailing Address - Street 2:
Mailing Address - City:SCITUATE
Mailing Address - State:MA
Mailing Address - Zip Code:02066-4530
Mailing Address - Country:US
Mailing Address - Phone:781-545-9285
Mailing Address - Fax:781-545-9553
Practice Address - Street 1:10 NEW DRIFTWAY
Practice Address - Street 2:STE 103
Practice Address - City:SCITUATE
Practice Address - State:MA
Practice Address - Zip Code:02066
Practice Address - Country:US
Practice Address - Phone:781-545-9285
Practice Address - Fax:781-545-9553
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2018-07-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA001515213E00000X
MA1515213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA710691OtherTUFTS HEALTH PLAN
MAB20185401OtherCIGNA
MA000641OtherNEIGHBORHOOD HEALTH PLAN
MA0336106Medicaid
MA23962OtherFALLON
MA33044OtherPILGRIM
MA348450OtherMETLIFE
MA2345596OtherAETNA US HEALTH CARE
MA2701028OtherUNITED HEALTH CARE
MAY70625OtherBLUE CROSS BLUE SHEILD
MA480022833OtherRAILROAD MEDICARE
MA710691OtherTUFTS HEALTH PLAN
MA23962OtherFALLON
MA348450OtherMETLIFE