Provider Demographics
NPI:1598740227
Name:FOLEY, WILLIAM (DO)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:FOLEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 RUMFORD AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02466-1316
Mailing Address - Country:US
Mailing Address - Phone:781-641-1901
Mailing Address - Fax:
Practice Address - Street 1:134 RUMFORD AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02466-1316
Practice Address - Country:US
Practice Address - Phone:781-641-1901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA217255204D00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA38910Medicare ID - Type Unspecified
MAI36442Medicare UPIN