George J Ducach DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1762 Issued in MA

Legal business name

GEORGE J DUCACH DPM PC

Practice address

1261 Furnace Brook Parkway
Suite #18
Quincy, MA 02169

Phone

(617) 773-4300

Fax

(617) 773-4301

NPI assigned

Aug 31, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

George J Ducach, DPM

Title

President Owner

Phone

(617) 773-4300

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1992816698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 FURNACE BROOK PARKWAY",
            "address_2": "SUITE #18",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "02169",
            "telephone_number": "617-773-4300",
            "fax_number": "617-773-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 FURNACE BROOK PARKWAY",
            "address_2": "SUITE #18",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "02169",
            "telephone_number": "617-773-4300",
            "fax_number": "617-773-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE J DUCACH DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "DUCACH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "617-773-4300",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "1762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "605663",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "Y77241",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nisha George
• Jessica L. German, D.C.
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• Tarek Ghneim
• Patrice Gholson

• Podiatrist in Quincy, MA
• Providers in Quincy, MA by specialty
• Podiatrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.