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FAMILY FOOT CARE CENTER LLC NPI 1952428518


NPI Information

NPI: 1952428518
Provider Name: FAMILY FOOT CARE CENTER, LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
11 CENTRAL AVE
EAST HARTFORD, CT
ZIP 06108
Phone: (860) 289-4500
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FAMILY FOOT CARE CENTER, LLC is a podiatrist in East 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. FAMILY FOOT CARE CENTER, LLC NPI is 1952428518. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

11 CENTRAL AVE
EAST HARTFORD, CT
ZIP 06108-102
Phone: (860) 289-4500
Fax: (860) 528-5289

The provider's authorized official is Jeffrey D. Martone .
The authorized official title is Dpm and has the following contact phone number (860) 289-4500.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 5/10/2017.


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
1213ES0103XPodiatristFoot & Ankle SurgeryCONNECTICUTNo
2213ES0131XPodiatristFoot SurgeryCONNECTICUTNo
3213E00000XPodiatristCONNECTICUTYes

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
14583240001MEDICARE NSCCONNECTICUT
2D300008776MEDICARE UPINCONNECTICUT
3004142915MEDICAIDCONNECTICUT

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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