Provider Demographics
NPI:1326378241
Name:PISTONE PODIATRIC FOOT CENTER PC
Entity Type:Organization
Organization Name:PISTONE PODIATRIC FOOT CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTYN
Authorized Official - Middle Name:
Authorized Official - Last Name:PISTONE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:978-556-9750
Mailing Address - Street 1:PO BOX 5326
Mailing Address - Street 2:
Mailing Address - City:BRADFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01835-0326
Mailing Address - Country:US
Mailing Address - Phone:978-556-9750
Mailing Address - Fax:978-521-8381
Practice Address - Street 1:62 BROWN ST
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-6778
Practice Address - Country:US
Practice Address - Phone:978-556-9750
Practice Address - Fax:978-521-8381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-29
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6041360001OtherDME