Organization · Type 2 NPI
Podiatry Center of Eastern Ct, LLC
Foot & Ankle Surgery Podiatrist · Manchester, CT
NPI number
1144453895
Active
Practice location
360 Tolland Tpke Ste 2C
Manchester, CT 06042-1770
Fax (860) 647-7559
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 000769 (CT) |
Foot & Ankle Surgery Podiatrist: Definition to come...
3 other providers at this address
About NPI 1144453895
Podiatry Center of Eastern Ct, LLC's National Provider Identifier is 1144453895, issued on Aug 28, 2009. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Manchester, CT. The record was last updated on Mar 24, 2020.