Provider Demographics
NPI:1609214543
Name:TVETER, CHRISTOPHER P (DPM)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:P
Last Name:TVETER
Suffix:
Gender:M
Credentials:DPM
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Other - Credentials:
Mailing Address - Street 1:67 MILLBROOKSTREET
Mailing Address - Street 2:C/O CHM - SUITE 208
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-2835
Mailing Address - Country:US
Mailing Address - Phone:508-795-0009
Mailing Address - Fax:508-795-0393
Practice Address - Street 1:125 PARKER HILL AVE
Practice Address - Street 2:STE 390
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02120-2847
Practice Address - Country:US
Practice Address - Phone:617-277-3800
Practice Address - Fax:617-277-3808
Is Sole Proprietor?:No
Enumeration Date:2013-06-13
Last Update Date:2016-09-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA1298213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAS900315268Medicare Oscar/Certification