Provider Demographics
NPI:1902983117
Name:HUBBARD, WILLIAM COIT (DPM)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:COIT
Last Name:HUBBARD
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:PO BOX 2111
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-0013
Mailing Address - Country:US
Mailing Address - Phone:978-423-8907
Mailing Address - Fax:978-343-3188
Practice Address - Street 1:680 ASHBURNHAM HILL RD
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-1866
Practice Address - Country:US
Practice Address - Phone:978-423-8907
Practice Address - Fax:978-343-3188
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2020-02-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2007213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA33965OtherHARVARD
MAY70980OtherBLUE CROSS
MA0358568OtherMA HEALTH
480015548OtherRR MEDICARE
MA795400OtherTUFTS
MA33965OtherHARVARD