Provider Demographics
NPI:1386041499
Name:JOHN CLARITY DPM
Entity Type:Organization
Organization Name:JOHN CLARITY DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARITY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:978-452-0657
Mailing Address - Street 1:817 MERRIMACK ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01854-3571
Mailing Address - Country:US
Mailing Address - Phone:978-452-0657
Mailing Address - Fax:
Practice Address - Street 1:817 MERRIMACK ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01854-3571
Practice Address - Country:US
Practice Address - Phone:978-452-0657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-04
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1539261QP1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0335924Medicaid
MAT79881Medicare UPIN