Individual provider · Type 1 NPI
Gordon E. Fosdick, DPM
Foot Surgery Podiatrist · Middlefield, CT
NPI number
1740206192
Active
Practice location
470 Main St
Middlefield, CT 06455-1210
Fax (860) 349-3081
Mailing address
196 Parkway S, Suite 304
Waterford, CT 06385-1234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | 00723 (CT) |
Foot Surgery Podiatrist: Definition to come...
2 other providers at this address
About NPI 1740206192
Gordon E. Fosdick, DPM's National Provider Identifier is 1740206192, issued on Jul 15, 2006. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Middlefield, CT. The record was last updated on Jun 26, 2013.