Provider Demographics
NPI:1487828935
Name:DR. DOROTHY A MCCARTHY PC
Entity Type:Organization
Organization Name:DR. DOROTHY A MCCARTHY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCCARTHY-CURRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:617-361-1114
Mailing Address - Street 1:1150 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:MA
Mailing Address - Zip Code:02136-2917
Mailing Address - Country:US
Mailing Address - Phone:617-361-1114
Mailing Address - Fax:617-361-3297
Practice Address - Street 1:1150 RIVER ST
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:MA
Practice Address - Zip Code:02136-2917
Practice Address - Country:US
Practice Address - Phone:617-361-1114
Practice Address - Fax:617-361-3297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1530332B00000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3856240001OtherDME SUPPLIER
MA1972592988Medicare UPIN