Provider Demographics
NPI:1982176806
Name:NPA CAPE ANN FOOT AND ANKLE LLC
Entity Type:Organization
Organization Name:NPA CAPE ANN FOOT AND ANKLE LLC
Other - Org Name:CAPE ANN FOOT AND ANKLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:DIMAMBRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-762-4205
Mailing Address - Street 1:5 BLACKBURN CTR
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01930-2259
Mailing Address - Country:US
Mailing Address - Phone:978-281-2550
Mailing Address - Fax:978-325-9044
Practice Address - Street 1:5 BLACKBURN CTR
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:MA
Practice Address - Zip Code:01930-2259
Practice Address - Country:US
Practice Address - Phone:978-281-2550
Practice Address - Fax:978-325-9044
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORWOOD PODIATRY ASSOCIATES PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-12-18
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty