Provider Demographics
NPI:1912994211
Name:CLARITY, JOHN J (DPM)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:J
Last Name:CLARITY
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 1:75 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-4644
Mailing Address - Country:US
Mailing Address - Phone:978-256-5315
Mailing Address - Fax:978-452-0815
Practice Address - Street 1:817 MERRIMACK ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01854-3571
Practice Address - Country:US
Practice Address - Phone:978-452-0657
Practice Address - Fax:978-452-0815
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-02
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1539213E00000X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
Y70631Medicare PIN
MACLY70631Medicare ID - Type Unspecified
MAT79881Medicare UPIN