CONNECTICUT FOOT SPECIALISTS PC NPI 1881858959

NPI Information

CONNECTICUT FOOT SPECIALISTS PC is a podiatrist in Canton, 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. CONNECTICUT FOOT SPECIALISTS PC NPI is 1881858959. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

259 ALBANY TURNPIKE
SUITE C
CANTON, CT
ZIP 06019
Phone: (860) 653-4708
Fax: (860) 653-6249

The provider's authorized official is Brian K Wagner .
The authorized official title is Owner and has the following contact phone number (860) 653-4708.

The CLIA number assigned to this NPI record is 07D2224881 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2008 and was last updated on 5/3/2010.

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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