Provider Demographics
NPI:1447404280
Name:GAUTHIER, CAROLINE (DPM)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:GAUTHIER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 HAVEN ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-2929
Mailing Address - Country:US
Mailing Address - Phone:781-944-8341
Mailing Address - Fax:781-944-3021
Practice Address - Street 1:50 HAVEN ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-2929
Practice Address - Country:US
Practice Address - Phone:781-944-8341
Practice Address - Fax:781-944-3021
Is Sole Proprietor?:No
Enumeration Date:2008-11-06
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2349213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery