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ADVANCED PODIATRIC SPECIALISTS PC NPI 1831292804


NPI Information

NPI: 1831292804
Provider Name: ADVANCED PODIATRIC SPECIALISTS, PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1389 W MAIN ST
SUITE 222
WATERBURY, CT
ZIP 06708
Phone: (203) 757-9200
Get Directions

ADVANCED PODIATRIC SPECIALISTS, PC is a podiatrist in Waterbury, 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. ADVANCED PODIATRIC SPECIALISTS, PC NPI is 1831292804. The provider is registered as an organization entity type.

The provider's business location address is:

1389 W MAIN ST
SUITE 222
WATERBURY, CT
ZIP 06708-104
Phone: (203) 757-9200
Fax: (203) 757-3990

The provider's authorized official is Charles T Arena .
The authorized official title is Owner and has the following contact phone number (203) 757-9200.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 6/3/2014.


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
1335E00000XProsthetic/Orthotic SupplierP00007CONNECTICUTNo
2213E00000XPodiatristP00007CONNECTICUTYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C01632MEDICARE PINCONNECTICUT

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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