Provider Demographics
NPI:1992878490
Name:MAREE, TERENCE EDWARD (DPM)
Entity type:Individual
Prefix:MR
First Name:TERENCE
Middle Name:EDWARD
Last Name:MAREE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 WASHINGTON STREET
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02188-1702
Mailing Address - Country:US
Mailing Address - Phone:781-335-4300
Mailing Address - Fax:
Practice Address - Street 1:71 WASHINGTON STREET
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02188-1702
Practice Address - Country:US
Practice Address - Phone:781-335-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1477213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY70598OtherBCBS
MA0330329Medicaid
MA0330329Medicaid
MAT58677Medicare UPIN