Organization · Type 2 NPI
Riverside Podiatry,llc
Primary Podiatric Medicine Podiatrist · Avon, CT
NPI number
1609354372
Active
Practice location
11 Westridge Dr
Avon, CT 06001-3648
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 881 (CT) |
Primary Podiatric Medicine Podiatrist: Definition to come...
About NPI 1609354372
Riverside Podiatry,llc's National Provider Identifier is 1609354372, issued on Aug 3, 2018. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Avon, CT. The record was last updated on Aug 3, 2018.