Provider Demographics
NPI:1528049772
Name:MOSTONE, REGINA M (DPM)
Entity type:Individual
Prefix:DR
First Name:REGINA
Middle Name:M
Last Name:MOSTONE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:1 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:OAK BLUFFS
Mailing Address - State:MA
Mailing Address - Zip Code:02557-1406
Mailing Address - Country:US
Mailing Address - Phone:508-684-4500
Mailing Address - Fax:508-684-4502
Practice Address - Street 1:1 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:OAK BLUFFS
Practice Address - State:MA
Practice Address - Zip Code:02557-1406
Practice Address - Country:US
Practice Address - Phone:508-684-4500
Practice Address - Fax:508-684-4502
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA1903213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA001903OtherTUFTS HEALTH PLAN
MA22730OtherFALLON HEALTH PLAN
MA27-00020OtherUNITED HEALTHCARE
MAB20354101OtherCIGNA
MAY70898OtherBLUE SHIELD OF MA
MAS002873OtherCHAMPUS/TRICARE
MAB20354101OtherCIGNA
MAY70898OtherBLUE SHIELD OF MA
MAB20354101OtherCIGNA
MAS002873OtherCHAMPUS/TRICARE
MAT90510Medicare UPIN