Provider Demographics
NPI:1336222835
Name:RICHARD A ARMSTRONG
Entity Type:Organization
Organization Name:RICHARD A ARMSTRONG
Other - Org Name:FALMOUTH PODIATRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER OF PRACTICE
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:508-540-5164
Mailing Address - Street 1:342 GIFFORD ST UNIT A
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540-5107
Mailing Address - Country:US
Mailing Address - Phone:508-540-5164
Mailing Address - Fax:
Practice Address - Street 1:342 GIFFORD ST UNIT A
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-5107
Practice Address - Country:US
Practice Address - Phone:508-540-5164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1618213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CM1445OtherRAILROAD MEDICARE
1082450001Medicare NSC