Provider Demographics
NPI:1184680886
Name:SPIRI, ANTHONY S (DPM)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:S
Last Name:SPIRI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 COUNTY ST
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:MA
Mailing Address - Zip Code:02726
Mailing Address - Country:US
Mailing Address - Phone:508-675-1401
Mailing Address - Fax:508-675-4877
Practice Address - Street 1:172 COUNTY ST
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:MA
Practice Address - Zip Code:02726
Practice Address - Country:US
Practice Address - Phone:508-675-1401
Practice Address - Fax:508-675-4877
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-22
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA1929213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0363081Medicaid
MAYY7117Medicare ID - Type Unspecified
MA0363081Medicaid