Provider Demographics
NPI:1457311615
Name:DECARO, LOUIS J (DPM)
Entity Type:Individual
Prefix:
First Name:LOUIS
Middle Name:J
Last Name:DECARO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:10 WEST ST UNIT 7
Mailing Address - Street 2:
Mailing Address - City:WEST HATFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01088-9554
Mailing Address - Country:US
Mailing Address - Phone:413-397-9890
Mailing Address - Fax:413-397-8899
Practice Address - Street 1:10 WEST ST UNIT 7
Practice Address - Street 2:
Practice Address - City:WEST HATFIELD
Practice Address - State:MA
Practice Address - Zip Code:01088-9554
Practice Address - Country:US
Practice Address - Phone:413-397-9890
Practice Address - Fax:413-397-8899
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2161213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA102161OtherCONNECTICARE
MA80-0080653OtherUNICARE/GIC
MA333477OtherHARVARD PILGRIM
MA80-0080653OtherPHCS
MA002161OtherTUFTS
MA2691823OtherAETNA
MA4415948OtherCIGNA
MA80-0060653OtherNORTHEAST HEALTH DIRECT
MA80-0080653OtherNORTHEAST HEALTH DIRECT
MA000000027306OtherBMC
MA30058OtherHEALTH NEW ENGLAND
MAY71098OtherBCBSMA
MA0361747Medicaid
MA80-0080653OtherNORTH AMERICAN PREFERRED
MA80-0080653OtherGREAT-WEST
MA80-0080653OtherCONSOLIDATED
MA80-0080653OtherPLAN VISTA
MA30058OtherHEALTH NEW ENGLAND
MA80-0080653OtherGREAT-WEST
MA0361747Medicaid