Provider Demographics
NPI:1992052435
Name:FOOT AND ANKLE CENTER OF MASSACHUSETTS,PC
Entity type:Organization
Organization Name:FOOT AND ANKLE CENTER OF MASSACHUSETTS,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FILZA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:978-658-1700
Mailing Address - Street 1:230 LOWELL ST
Mailing Address - Street 2:2ND FLOOR, UNITS C & E
Mailing Address - City:WILMINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01887-3087
Mailing Address - Country:US
Mailing Address - Phone:978-658-1700
Mailing Address - Fax:978-658-1707
Practice Address - Street 1:230 LOWELL ST
Practice Address - Street 2:2ND FLOOR, UNITS C & E
Practice Address - City:WILMINGTON
Practice Address - State:MA
Practice Address - Zip Code:01887-3087
Practice Address - Country:US
Practice Address - Phone:978-658-1700
Practice Address - Fax:978-658-1707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-14
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2329213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty