Individual provider · Type 1 NPI
Bruce M. Backer, D.P.M.
Foot Surgery Podiatrist · Orange, CT
NPI number
1073887923
Active
Practice location
272 Charles Ct
Orange, CT 06477-1629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | P00364 (CT) |
Foot Surgery Podiatrist: Definition to come...
About NPI 1073887923
Bruce M. Backer, D.P.M.'s National Provider Identifier is 1073887923, issued on Feb 23, 2012. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Orange, CT. The record was last updated on Feb 23, 2012.