COUNTRYSIDE PEDORTHICS & COBBLER SHOP NPI 1265611891

NPI Information

COUNTRYSIDE PEDORTHICS & COBBLER SHOP is a durable medical equipment medical supplies in Canterbury, CT. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. COUNTRYSIDE PEDORTHICS & COBBLER SHOP NPI is 1265611891. The provider is registered as an organization entity type.

The provider's business location address is:

95 BINGHAM RD
CANTERBURY, CT
ZIP 06331-302
Phone: (860) 546-1099
Fax: (860) 546-1095

The provider's authorized official is Ronald G. Auger .
The authorized official title is Owner/certified Pedorthist and has the following contact phone number (860) 546-1099.

The enumeration date for this NPI number is 10/31/2007 and was last updated on 4/22/2021.

Taxonomy Codes

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Other Identifiers

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