Provider Demographics
NPI:1295725265
Name:DALRYMPLE, CHRISTINE FRANCES (DPM)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:FRANCES
Last Name:DALRYMPLE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:CHRISTINE
Other - Middle Name:FRANCES
Other - Last Name:DALRYMPLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPM
Mailing Address - Street 1:451 ANDOVER ST
Mailing Address - Street 2:SUITE 209
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-5044
Mailing Address - Country:US
Mailing Address - Phone:978-686-7623
Mailing Address - Fax:978-683-9911
Practice Address - Street 1:451 ANDOVER ST
Practice Address - Street 2:SUITE 209
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-5044
Practice Address - Country:US
Practice Address - Phone:978-686-7623
Practice Address - Fax:978-683-9911
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2351213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0010593Medicare PIN
MOU89867Medicare UPIN
MO305833311Medicaid
MOU89867Medicare UPIN
MO364901504Medicaid
MA0010593Medicare PIN