Provider Demographics
NPI:1023276508
Name:HEWITSON, JOSEPH WILLIAM (DPM)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:WILLIAM
Last Name:HEWITSON
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 1:825 VAN NESS AVE
Mailing Address - Street 2:STE. 204
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-7891
Mailing Address - Country:US
Mailing Address - Phone:415-928-7762
Mailing Address - Fax:415-928-0228
Practice Address - Street 1:825 VAN NESS AVE
Practice Address - Street 2:STE. 204
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-7891
Practice Address - Country:US
Practice Address - Phone:415-928-7762
Practice Address - Fax:415-928-0228
Is Sole Proprietor?:No
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE3738213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist