MICHAEL SCANLON NPI 1669529954

NPI Information

MICHAEL SCANLON is a podiatrist in Willimantic, 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. MICHAEL SCANLON NPI is 1669529954. The provider is registered as an organization entity type.
The provider Is Doing Business As Glastonbury Podiatry Group.

The provider's business location address is:

162 MANSFIELD AVE # A
WILLIMANTIC, CT
ZIP 06226-041
Phone: (860) 456-4250

The provider's authorized official is Michael James Scanlon .
The authorized official title is Physician/owner and has the following contact phone number (860) 657-3668.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 11/15/2007.

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

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