SHORELINE FOOT & ANKLE CENTER PC NPI 1487706008

NPI Information

SHORELINE FOOT & ANKLE CENTER, PC is a durable medical equipment medical supplies in Groton, 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. SHORELINE FOOT & ANKLE CENTER, PC NPI is 1487706008. The provider is registered as an organization entity type.

The provider's business location address is:

85 POHEGANUT DR
GROTON, CT
ZIP 06340-252
Phone: (860) 437-3737
Fax: (860) 437-0530

The provider's authorized official is Darren J Courtright .
The authorized official title is Owner and has the following contact phone number (860) 437-3737.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 3/27/2012.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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