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ST. VINCENT'S MULTISPECIALTY GROUP NPI 1376931311


NPI Information

NPI: 1376931311
Provider Name: ST. VINCENT'S MULTISPECIALTY GROUP

Other Name: ST.VINCENT'S PODIATRY CENTER

Classification: Podiatrist - 213E00000X
Entity Type: Organization

CLIA Number: 07D2268561

Address:
1825 BARNUM AVE
STRATFORD, CT
ZIP 06614
Phone: (203) 377-1777
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ST. VINCENT'S MULTISPECIALTY GROUP is a podiatrist in Stratford, CT. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. ST. VINCENT'S MULTISPECIALTY GROUP NPI is 1376931311. The provider is registered as an organization entity type.
The provider Other Name Is St.vincent's Podiatry Center.

The provider's business location address is:

1825 BARNUM AVE
STRATFORD, CT
ZIP 06614-333
Phone: (203) 377-1777

The provider's authorized official is John Gleckler .
The authorized official title is Cfo and has the following contact phone number (203) 576-5412.

The CLIA number assigned to this NPI record is 07D2268561 - other - hospital outpatient dept with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2014 and was last updated on 1/6/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2213E00000XPodiatristYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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