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CONNECTICUT FOOT SPECIALISTS P.C. NPI 1902124225


NPI Information

NPI: 1902124225
Provider Name: CONNECTICUT FOOT SPECIALISTS, P.C.
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
43 WOODLAND ST
SUITE 210
HARTFORD, CT
ZIP 06105
Phone: (260) 251-7200
Get Directions

CONNECTICUT FOOT SPECIALISTS, P.C. is a podiatrist in Hartford, 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, P.C. NPI is 1902124225. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

43 WOODLAND ST
SUITE 210
HARTFORD, CT
ZIP 06105-363
Phone: (260) 251-7200

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 enumeration date for this NPI number is 5/11/2010 and was last updated on 6/4/2010.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0131XPodiatristFoot SurgeryCT000793CONNECTICUTNo
2213E00000XPodiatristCT000793CONNECTICUTYes

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
10869800003MEDICARE NSC
21093743502OTHERCONNECTICUTDR. WAGNER'S NPI
3CT000793OTHERCONNECTICUTDR. WAGNER'S STATE LICENSE

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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