Provider Demographics
NPI:1194798504
Name:SWIERUPSKI, FRANCIS WILLIAM (DPM)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:WILLIAM
Last Name:SWIERUPSKI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:500 BELMONT ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-4985
Mailing Address - Country:US
Mailing Address - Phone:508-586-0540
Mailing Address - Fax:508-588-0466
Practice Address - Street 1:500 BELMONT ST
Practice Address - Street 2:SUITE 110
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-4985
Practice Address - Country:US
Practice Address - Phone:508-586-0540
Practice Address - Fax:508-588-0466
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-08
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPOD1761213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0361593Medicaid
707197OtherTURFTS
33080OtherHARVPILG
33080OtherHARVPILG
T19139Medicare UPIN