LASERWAVE PODIATRY is a podiatrist in Mystic, 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. LASERWAVE PODIATRY NPI is 1285383877. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
12 ROOSEVELT AVE STE 203
MYSTIC, CT
ZIP 06355-842
Phone: (401) 363-3150
The provider's authorized official is Michael Da Cicero .
The authorized official title is Owner And Medical Director and has the following contact phone number (401) 363-3150.
The enumeration date for this NPI number is 3/21/2022 and was last updated on 3/8/2023.