PODIATRYCARE P C NPI 1396875365

NPI Information

NPI: 1396875365
Provider Name: PODIATRYCARE P C
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1379 ENFIELD ST
ENFIELD, CT
ZIP 06082
Phone: (860) 741-3041
Get Directions

PODIATRYCARE P C is a foot and ankle surgery podiatrist in Enfield, CT. PODIATRYCARE P C NPI is 1396875365. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1379 ENFIELD ST
ENFIELD, CT
ZIP 06082-524
Phone: (860) 741-3041
Fax: (860) 741-5644

The provider's authorized official is Robert Edward Marra .
The authorized official title is President-owner and has the following contact phone number (860) 741-3041.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 8/24/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	000303	CONNECTICUT	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	000731	CONNECTICUT	No
3	213ES0103X	Podiatrist	Foot & Ankle Surgery	P00373	CONNECTICUT	Yes

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

NPI Synchronization or Removal

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