Organization · Type 2 NPI

Dpmdeckerprct LLC

Foot & Ankle Surgery Podiatrist · Glastonbury, CT

NPI number 1407146897 Active

Practice location

300 Hebron Ave, Suite 211
Glastonbury, CT 06033-2176

Fax (860) 657-1678

Mailing address

196 Parkway S, Suite 304
Waterford, CT 06385-1234

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X000853 (CT)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1407146897

Dpmdeckerprct LLC's National Provider Identifier is 1407146897, issued on Apr 19, 2011. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Glastonbury, CT. The record was last updated on Apr 19, 2011.