Provider Demographics
NPI:1558743880
Name:KUIZINAS, ALISSA (DPM)
Entity Type:Individual
Prefix:DR
First Name:ALISSA
Middle Name:
Last Name:KUIZINAS
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 1:31 EAST RD
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01473-1669
Mailing Address - Country:US
Mailing Address - Phone:978-424-5527
Mailing Address - Fax:
Practice Address - Street 1:54 BAKER AVENUE EXT STE 301
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-2139
Practice Address - Country:US
Practice Address - Phone:978-369-5282
Practice Address - Fax:978-369-2926
Is Sole Proprietor?:No
Enumeration Date:2015-06-23
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2474213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist